转化医学杂志Issue(5)：285-289,5.DOI:10.3969/j.issn.2095-3097.2015.05.009
护理干预对原发性高血压患者甲襞微循环的影响
Effect of nursing intervention on nail-fold microcirculation in patients with essential hypertension
宋丹丹 1朱秀勤 1师兰香 1李玉珍 1刘秀华1
作者信息
- 1. 100853 北京，解放军总医院病理生理研究室
- 折叠
摘要
Abstract
Objective To observe the effects of nursing intervention on nail-fold microcircu-lation and blood pressure in patients with essential hypertension.Methods Fifty eight patients with essential hypertension were randomly divided into treatment group ( n=18) and treatment+nursing intervention group ( n=40 ) .All patients received individualized treatment with antihypertensive drugs and the patients of intervention group also received additional nursing intervention.Blood pre-ssure stable, before and 30 days after nursing intervention, nail-fold microcirculation of all patients were monitored by capillaroscope ( ZL104) and microcirculatory image software ( the treatment group was also detected at the same time) .Results Before nursing intervention, there was no difference betweentwo groups in body weight, the number of smokers and drinkers, the number of loops, diameter and blood flow rate of nail-fold capillary ( P>0.05) .After one-month treatment, blood pressure in-creased in treatment group while decreased in treatment+nursing intervention group, with no signifi-cant difference ( P>0.05) .Compared with baseline, the number and diameter of capillary loops, and blood flow velocity of nail-fold capillary after treatment in patients of treatment group showed no difference ( P>0.05) .While in treatment+intervention group, compared with baseline, the number of capillary loops [(5.20±1.01)strip/mm vs ( 4.97±0.83)strip/mm, P>0.05], diameters of in-put capillary [(7.55±0.99) μm vs (7.07±1.23)μm, P>0.05] and output capillary [(10.65± 1.55) μm vs (9.98±1.90)μm, P>0.05] and blood flow velocity of nail-fold capillary [(466.43± 61.11) μm/s vs (427.33±65.04) μm/s, P<0.05] increased after treatment.Conclusion Nursing intervention combined with individualized drug therapy can improve microcirculation in the patients with essential hypertension.关键词
原发性高血压/护理干预/甲襞微循环Key words
Essential hypertension/Nursing intervention/Nail-fold microcirculation分类
医药卫生引用本文复制引用
宋丹丹,朱秀勤,师兰香,李玉珍,刘秀华..护理干预对原发性高血压患者甲襞微循环的影响[J].转化医学杂志,2015,(5):285-289,5.
