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目的探讨基层医院门诊老年人低血压原因及防治措施。方法对70例老年低血压患者的原因及防治措施进行回顾性分析。结果 70例患者中原发性低血压7例(男4例、女3例),药物性低血压24例(男13例、女11例),体位性低血压18例(男10例、女8例),排尿性低血压12例(男8例、女4例),进餐后低血压7例(男5例、女2例),季节性低血压2例(男1例、女1例)。70例患者经治疗有效54例,其中原发性低血压有效4例,药物性低血压有效23例,体位性低血压有效12例,排尿性低血压有效9例,进餐后低血压有效5例,季节性低血压有效1例。结论基层医院门诊老年人低血压得到医生的治疗及指导后大部分是可以防治的,尤其是药物性低血压,从而大大减少了低血压带来的危害。
Objective To investigate the causes and preventive measures of hypotension in elderly patients in outpatient department of primary hospital. Methods Retrospective analysis of 70 elderly patients with hypotension and prevention and treatment. Results Among 70 patients, there were 7 cases of primary hypotension (4 males and 3 females), 24 cases of drug-induced hypotension (13 males and 11 females), 18 cases of postural hypotension (10 males and 10 females 8 cases), urinary hypotension in 12 cases (8 males and 4 females), postprandial hypotension in 7 cases (5 males and 2 females), 2 cases of seasonal hypotension (1 males and 1 females ). 70 cases were treated and effective in 54 cases, including 4 cases of effective primary hypertension, 23 cases of drug-induced hypotension, 12 cases of orthostatic hypotension, urinary hypotension in 9 cases, 5 cases of postprandial hypotension , 1 case of seasonal hypotension effective. Conclusion The outpatients in grass-roots hospitals are most likely to be able to prevent and treat hypotension due to medical treatment and guidance by their doctors. In particular, they are drug-induced hypotension, which greatly reduces the harm caused by hypotension.