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老人冠心病，血压，高压高165，低压85，昨天吃了降压药有好转，今天心率不正常
基本信息：男&&69岁
发病时间：不清楚
病情描述及疑问：昨天高压高165，平时145-135，低压80左右波动不大，吃了降压药回复，今天又升到165，心率有变化昨天51今天65，心慌，头难受，请问医生我该怎么办，病人不想去医院
您输入的回答少于20个中文字，请补充输入。
擅长：消化内科
网友满意：
回答速度：
人民医院&&&内科
建议：你好，建议继续服用降压药，这个心律不快。最好心电图看看。另外建议服用复方丹参滴丸缓解症状。
&&&内科_心血管内科
擅长：心血管内科
网友满意：
回答速度：
上海远大心胸医院&&&内科_心血管内科
建议：您好，患者的血压有些偏高，建议及时就诊心内科专科医生，在医生的指导下调整用药，一般来说，目前血压药物有很多种类，而且在降低血压方面有很好的效果，血压没降下来，原因可能是个人平时的饮食生活习惯没有改善，还有就是药物上不合理，建议患者及时去医院做些相应的检查，并在医生的指导下，增加些药物治疗，平时注意低盐低脂饮食，合理的生活习惯，适当的运动，有不良反应和血压变化及时随诊。Ydt
有关的更多问题，
疾病百科　　冠心病一种由冠状动脉器质性(动脉粥样硬化或动力性血管痉挛)狭窄或阻塞引起的心肌缺血缺氧(心绞痛)或心肌坏死(心肌梗塞)的心脏病,亦称缺血性心脏病　　冠心病一种由冠状动脉器质性(动脉粥样硬化或动力性血管痉挛)狭窄或阻塞引起的心肌缺血缺氧(心绞痛)或心肌坏死(心肌梗塞)的心脏病,亦称缺血性心脏病。就诊科室：心血管内科 心胸外科典型症状： 多发人群：中老年人群检查方法： 发病部位：心脏 血液血管常用药品： 疾病自测：
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副主任医师
北京医院&&&
副主任医师
第四军医大学唐都医院&&&外科_脑外科
北京安贞医院&&&特需医疗科
为保障患者权益，我们仅接受有资质的医学专业人士的回答，请您先认证为医生社区对老年高血压患者的护理分析--《中国医学创新》2014年03期
社区对老年高血压患者的护理分析
【摘要】：目的:研究观察社区护理干预对老年高血压患者临床效果的影响。方法:选取2009年6月-2012年12月本社区165例高血压老年患者,按照随机数字表法将其分为护理组85例和对照组80例。对照组进行高血压常规基础护理方案,护理组在对照组护理方案基础上,根据患者的临床表现以及既往病史,制定有针对性的护理方案,并对两组患者的血压控制情况、生活质量以及治疗费用进行比较分析。结果:护理组治疗前后的舒张压与收缩压的降低程度均明显高于对照组,护理组的总优良率96.47%明显高于对照组的72.50%,比较差异均有统计学意义(P0.05),且护理组患者的治疗费用明显低于对照组,比较差异有统计学意义(P0.01)。结论:对社区的老年高血压患者采用有针对性的护理干预措施,可以有效地改善患者病情,提高生活质量以及减少患者的治疗费用,值得在临床推广。
【作者单位】：
【关键词】：
【分类号】：R473.2【正文快照】：
高血压疾病是目前我国社会中老年人易发的常见病,同时也是引发老年患者发生脑卒中等心脑血管疾病的主要因素[1]。社区护理的干预,可以使高血压患者提高疾病的认识和了解,改善患者的不良生活习惯,对疾病的预防和治疗具有重要作用[2]。本文通过对老年高血压患者的社区护理进行
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支持CAJ、PDF文件格式，仅支持PDF格式
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【共引文献】
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郜玉珍,程金莲,杨志明,王瑞英,李清,张晋昕,高伟,陈臣义,李彩萍;[J];护理研究;2001年05期
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【相似文献】
中国期刊全文数据库
牟伟;[J];社区医学杂志;2005年08期
杨静;金翠香;;[J];中国老年学杂志;2007年13期
李小珍;;[J];中国现代医生;2009年02期
曾爱蓉;万凤媛;;[J];中外医疗;2009年34期
朱健,汪萍,吴君;[J];第一军医大学分校学报;2005年01期
黄文艳;;[J];中国现代药物应用;2009年13期
谢亮球;孙小叶;谢萍;;[J];齐鲁护理杂志;2011年18期
全鹏;雷松蕙;黄思静;;[J];护理与康复;2006年06期
冯乙鸣;;[J];中国误诊学杂志;2008年11期
师艳萍;闵小红;;[J];中国社区医师(医学专业);2011年18期
中国重要会议论文全文数据库
伍南芳;;[A];第二十届航天医学年会暨第三届航天护理年会论文汇编[C];2004年
范美容;;[A];第二十五届航天医学年会暨第八届航天护理年会论文汇编[C];2009年
徐辉;;[A];全国社区护理学术交流暨专题讲座会议论文汇编[C];2003年
刘秀娜;;[A];医改新政下护理改革之路系列研讨会论文汇编[C];2010年
马雪芳;;[A];医改新政下护理改革之路系列研讨会论文汇编[C];2010年
于宁;;[A];全国门、急诊护理学术交流暨专题讲座会议论文汇编[C];2002年
满小莹;;[A];全国社区护理学术交流暨专题讲座会议论文汇编[C];2003年
吴建芳;归纯漪;;[A];全国眼耳鼻喉科护理学术交流会议论文汇编[C];2011年
王世荣;;[A];全国第二届糖尿病护理学术交流暨专题讲座会议论文汇编[C];2004年
李平东;宫玉翠;;[A];中华医学会呼吸病学年会——2011（第十二次全国呼吸病学学术会议）论文汇编[C];2011年
中国重要报纸全文数据库
王丹　实习记者
吴刚;[N];健康报;2009年
江兰;[N];医药养生保健报;2006年
张铭霞;[N];医药养生保健报;2009年
王峰;[N];中国消费者报;2000年
中南大学湘雅医学院附二院
王钟林教授;[N];大众卫生报;2001年
指导专家 第三军医大学大坪医院高血压内分泌科 闫振成 夏冰冰;[N];医药导报;2009年
第三军医大学大坪医院高血压内分泌科副主任
闫振成　副教授
邹争春;[N];医药导报;2008年
朱本浩;[N];中国中医药报;2002年
健康时报记者 王志胜;[N];健康时报;2009年
于英杰;[N];医药经济报;2010年
中国博士学位论文全文数据库
祁俊菊;[D];第三军医大学;2013年
杨松青;[D];吉林大学;2006年
巩晓红;[D];河北医科大学;2009年
卫华;[D];山西医科大学;2010年
钱春荣;[D];第三军医大学;2011年
裴贻贻;[D];华中科技大学;2011年
巴桑;[D];华中科技大学;2013年
蒋小剑;[D];中南大学;2012年
郭凌飞;[D];山东大学;2013年
中国硕士学位论文全文数据库
王芸;[D];新疆医科大学;2006年
孙萍;[D];中国协和医科大学;2006年
田凤美;[D];吉林大学;2010年
宁晓东;[D];福建医科大学;2011年
张辉;[D];大连医科大学;2009年
邹益群;[D];福建医科大学;2012年
谢鹂;[D];中国协和医科大学;2007年
谭瑶;[D];广西医科大学;2008年
张文芳;[D];重庆医科大学;2008年
岳亚梅;[D];吉林大学;2011年
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ACC、AHA 老年高血压专家共识
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　 美国老年高血压专家共识文... 19页 免费 AHA2011老年高血压专家共识... 3... ACC老年高血压共识11-5-25... 44页 1财富值 老年高血压的诊断与治疗中..... 　美国 ACC (the American College of Cardiology Foundation) 联合 AHA(the American Heart Association)近期发布了 《2011 年老年高血压专家共识》,旨在对老年高血压... 　2011版《老年高血压诊断与治疗专家共识》提出上述观点,建议老年高血压治疗采取循序...17、 Aronow WS, Fleg JL, Pepine CJ, et al.ACCF/AHA 2011 Expert ... 　 ACCF和AHA2011老年高血压专家共识解读ACCF和AHA2011老年高血压专家共识解读隐藏&& ACCF/AHA 2011 老年高血压专家共识解读作者:上海交通大学医学院附属仁济医院老年病... 　共识专家组参考了 1999 年以来发表 的高血压指南及有关老年高血压论述的部分内容, 包括 ACC/AHA 1999) WHO/ISH (、(1999)、JNC 7(2003)、ESC/ESH(2003)、... 　 ACCF/AHA2011 老年高血压专家共识日期: 目前全球老龄化加剧,多数老年人(≥65 岁)存在高血压,这些患者更容易发生器官 损伤或临床心血管疾病(CVD)。但... 　 ACCF/AHA 2011 老年高血压专家共识文件(执行纲要) 本文件的写作意图是,在关于管理老年高血压的专题报 告发表时,作为一份完成的参考。考虑到文件的长度,包括 在... 　老年高血压的诊断与治疗中国专家共识(2011 版) 2011 年 9 月 18 日 北京大学第一医院 刘梅林 郭艺芳 关键词:老年高血压 专家共识 降压治疗 非药物治疗 药物... 　尤其今年近期发布的美国 ACC/AHA 《2011 年老年高血压专家共识》 和我国《老年高血压的诊断与治疗中国专家共识(2011 版) 》对老年高血压的特点、临床证 据、...
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