The curative effect of comprehensive treatments for senile hypertension
10.3760/cma.j.issn.1008-6706.2015.18.032
- VernacularTitle:综合方法治疗老年性高血压疗效观察
- Author:
Yuzi HU
;
Xuehua ZHOU
- Publication Type:Journal Article
- Keywords:
Comprehensive method;
Aged people;
Hypertension
- From:
Chinese Journal of Primary Medicine and Pharmacy
2015;(18):2823-2826
- CountryChina
- Language:Chinese
-
Abstract:
Objective To study comprehensive methods for senile hypertension and compared with conven-tional western medicine treatment,and provide reference to guide clinical hypertension treatment for the future. Methods 162 cases with senile hypertension were selected in our hospital,according to the order of treatment and the principle of informed consent,they were randomly divided into observation group and control group.The control group was given conventional western medicine treatment,the Nifedipine sustained release tablets joint irbesartan tab-lets.Based on the thinkings of health management,we established health records for observation group firstly,then as-sessed cardiovascular risk among patients.The patients with low,moderate risk were conducted the continuous monito-ring of blood pressure,health education,the key intervention in their way of life,established a good mentality.If the blood pressure was still unstable and out of control,we began to consider the use of drug.For patients with high risk or very high risk,besides the treatment considered,they needed immediate medical treatment supplemented by traditional Chinese medicine.Observation group was followed up for 1 time,and lasting for 6 months,then their blood pressure was measured again,the treatment effect and adverse reactions were evaluated.Results The total effective rate of ob-servation group was 96.7% (89 /92),which was significantly higher than that of control group 82.8% (58 /70),χ2 =9.12,P <0.01,the difference was statistically significant.After following up for 6 months,the systolic blood pressure of observation group fell to (126.1 ±21.5 )mmHg,t =7.548,P <0.01;diastolic blood pressure fell to (79.5 ±9.5)mmHg,t =10.703,P <0.01,the change was significantly different than before.The systolic blood pres-sure of control group fell to (145.3 ±26.7)mmHg,t =1.979,P <0.05,there was markedly reduced,diastolic blood pressure decreased too,but there was no statistical difference (P >0.05).So the effect of observation group was better than control group.Meanwhile,some adverse reaction occurred in both groups,but there was no significant difference. Conclusion With the thinking of health management for aged patients with hypertension,offer full -course treatment for them in order to increase the awareness of hypertension and establish healthy lifestyle,guide scientific and rational drug use.The integrated use of these methods can effectively improve the effect of the treatment of senile hyperten-sion,which is worthy of popularization and application.
