高血压病人时间用药护理的临床观察毕业论文.doc

高血压病人时间用药护理的临床观察毕业论文.doc

ID:138073

大小:185.00 KB

页数:35页

时间:2017-06-23

高血压病人时间用药护理的临床观察毕业论文.doc_第1页
高血压病人时间用药护理的临床观察毕业论文.doc_第2页
高血压病人时间用药护理的临床观察毕业论文.doc_第3页
高血压病人时间用药护理的临床观察毕业论文.doc_第4页
高血压病人时间用药护理的临床观察毕业论文.doc_第5页
资源描述:

《高血压病人时间用药护理的临床观察毕业论文.doc》由会员上传分享,免费在线阅读,更多相关内容在学术论文-天天文库

1、高血压病人时间用药护理的临床观察毕业论文目录中文摘要········································································································1英文摘要········································································································3研究论文高血压病人时间用药护理的临床观察前言············

2、····························································································5资料与方法····························································································6结果·················································································

3、······················8附图·······································································································10附表·······································································································11讨论···································

4、····································································14结论·······································································································23参考文献·····························································································

5、·24综述高血压病人时间用药护理及评估进展·······································27致谢···············································································································36个人简历·····························································································

6、··········37研究论文前言高血压病是临床常见的疾病,常引严重的心、脑、肾脏等靶器官的并发症,是脑卒中和冠心病的主要危险因素,我国高血压病患者人数呈上升趋势,成为国民致残,致死的主要病因之一。但我国高血压病患者对该病知晓率低、治疗率低、控制率低。因此做好高血压的诊治具有深远的社会意义。降压治疗可使高血压患者明显获益,最近一项荟萃分析表明血压下降4.6/2.2mmHg以上就可以使心血管事件发生率明显下降[1]。然而在获得同等水平的血压下降,不同的治疗方案可产生不同的临床获益,如在ASCOT试验中,以氨氯地平为基础的降压方案和以阿替洛尔为

7、基础的降压方案使患者血压下降差值为2.7/1.9mmHg,然而在以氨氯地平为基础的降压方案组中冠脉事件及卒中事件获益率明显高于以阿替洛尔为基础的降压方案组,对该试验进一步分析发现在以氨氯地平为基础的降压方案组中血压变异明显小于以阿替洛尔为基础的降压方案组,说明血压变异性可部分的解释两组临床获益差别[2]。高血压时除血压增高对靶器官产生损害外,血压节律异常也会对机体造成损害,夜间血压增高及非杓型血压可导致左心室充盈异常及舒张功能受损[3]。非杓型血压导致人体内分泌紊乱,最终引起心力衰竭[4-6]。此外在通常情况下,人从睡眠到觉醒及开始活动,体内

8、的交感神经系统活性、肾素、血管紧张素II、醛固酮等物质活性逐渐增高,其导致清晨觉醒后数小时内血压会有所升高,如果交感神经过度激活等病理原因晨峰血压升高幅度过大,则心

当前文档最多预览五页,下载文档查看全文

此文档下载收益归作者所有

当前文档最多预览五页,下载文档查看全文
温馨提示:
1. 部分包含数学公式或PPT动画的文件,查看预览时可能会显示错乱或异常,文件下载后无此问题,请放心下载。
2. 本文档由用户上传,版权归属用户,天天文库负责整理代发布。如果您对本文档版权有争议请及时联系客服。
3. 下载前请仔细阅读文档内容,确认文档内容符合您的需求后进行下载,若出现内容与标题不符可向本站投诉处理。
4. 下载文档时可能由于网络波动等原因无法下载或下载错误,付费完成后未能成功下载的用户请联系客服处理。