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目的:探讨抗精神病药物引起直立性低血压的临床特点,以及护理干预措施。方法:选取本院2013年6月至2015年6月收治的精神疾病患者65例,依据精神症状科学选用治疗药物,观察用药前后的血压变化,分析用药情况对直立性低血压的影响,并总结护理对策。结果:患者用药1周后血压变化不明显(P>0.05);用药2周、3周后血压明显降低;其中利培酮影响最小、氯丙嗪影响最大,用药剂量越大血压下降越明显(P<0.05)。结论:针对精神疾病患者,抗精神病药物的使用种类、用药剂量是影响直立性低血压的重要因素。提示医护人员加强管理,采取针对性的护理对策,维持稳定的血压水平。
Objective: To investigate the clinical features of orthostatic hypotension induced by antipsychotics and nursing interventions. Methods: Sixty-five patients with mental illness admitted from June 2013 to June 2015 in our hospital were selected according to psychiatric symptoms, and the changes of blood pressure before and after treatment were observed, and the influence of medication on orthostatic hypotension was analyzed. Nursing measures. Results: After 1 week of medication, the blood pressure did not change significantly (P> 0.05). After 2 weeks of treatment, the blood pressure decreased obviously after 3 weeks of treatment. The effect of risperidone was the least, and the effect of chlorpromazine was the greatest. P <0.05). Conclusion: For patients with mental illness, the type of antipsychotics used and the dosage of the antipsychotics are important factors affecting orthostatic hypotension. Prompt medical staff to strengthen management, take targeted nursing strategies to maintain stable blood pressure levels.