Clinical observation of postprandial blood pressure changes in the very elderly with nasal feeding
10.3760/cma.j.issn.0254-9026.2012.11.014
- VernacularTitle:80岁以上鼻饲患者餐后血压的变化
- Author:
Wei QIAO
;
Li CHEN
;
Jiahui LI
;
Lei CHEN
;
Jing HUANG
;
Zhigang ZHENG
;
Xiaoping ZHANG
- Publication Type:Journal Article
- Keywords:
Hypotension;
Intubation,gastrointestinal;
Heart rate
- From:
Chinese Journal of Geriatrics
2012;31(11):971-973
- CountryChina
- Language:Chinese
-
Abstract:
Objective To observe the changes of postprandial blood pressure and heart rate with two types of nasal feeding in the very elderly and explore the method for decreasing the postprandial hypotension (PPH).Methods Totally 49 patients (aged＞80 years) were randomly divided into two groups of continuous versus intermittent nasal feeding.The clinical symptoms and changes in blood pressure and heart rate before and after meals were observed.Results The incidence of PPH was 100.0％(26 cases)in the group of intermittent nasal feeding,and 47.8％ (11 cases) in the group of continuous nasal feeding (P＜0.01).Postprandial blood pressure in the group of intermittent nasal feeding was decreased significantly as compared with the group of continuous nasal feeding (P ＜0.05); and the heart rate was accelerated in the group of intermittent nasal feeding compared with continuous nasal feeding (P＜0.05).The incidence of serious cardio-cerebral ischemia was 7.7％ (2cases)in the group of intermittent nasal feeding.The patients had no clinical symptoms in the group of continuous nasal feeding.Conclusions Continuous nasal feeding for the very elderly with gastrointestinal nutrition can reduce the extent of the falling blood pressure and the incidence of PPH,and avoide cardiocerebrovascular events.
