...
  • 主题
高级搜索  >
历史搜索 清空历史
首页> 外文期刊>Journal of stroke and cerebrovascular diseases: The official journal of National Stroke Association >Blood pressure 1 year after stroke: The need to optimize secondary prevention
【24h】

Blood pressure 1 year after stroke: The need to optimize secondary prevention

机译：脑卒中后一年血压：需要优化二级预防

获取原文
获取原文并翻译 | 示例
           
页面导航
  • 摘要
  • 著录项
  • 相似文献
  • 相关主题

摘要

Lowering blood pressure (BP) in stroke survivors reduces the risk of recurrent stroke. We tested the hypothesis that a nurse-led nonpharmacologic intervention would lower the BP of participants in an intervention group compared with a control group. A total of 349 patients who had sustained acute stroke or transient ischemic attack were randomly assigned to either usual care or to 4 home visits by a nurse. During the visits, the nurse measured and recorded BP and provided individually tailored counseling on a healthy lifestyle. A total of 303 patients completed the 1-year follow up. No change in systolic BP was noted in either the intervention group or the control group. Because of an increase in diastolic BP in the control group (P = .03), a difference in mean diastolic BP between the 2 groups was found at follow-up (P = .007). Mean BP at follow-up was 139/82 mm Hg in the intervention group and 142/86 mm Hg in the control group. Linear regression analysis demonstrated that BP at the point of discharge was the strongest predictor of BP 1 year later (P < .0001). The proportion of patients on antihypertensive medication increased in the intervention group (P = .002). Patients were compliant with antihypertensive therapy, and 92% of the hypertensive patients in the intervention group followed the advice to see a general practitioner (GP) for BP checkups. At follow-up, 187 patients (62%) were hypertensive, with no difference in the rate of hypertension seen between the groups. Our data indicate that home visits by nurses did not result in a lowering of BP. Patients complied with antihypertensive therapy and GP visits in the case of hypertension. Nonetheless, the majority of patients were hypertensive at the 1-year follow up.
机译：降低中风幸存者的血压（BP）可降低中风复发的风险。我们检验了以下假设：与对照组相比，由护士主导的非药物干预将降低干预组参与者的血压。共有349名患有持续性急性中风或短暂性脑缺血发作的患者被护士随机分配到常规护理或4个家庭就诊中。探视期间，护士测量并记录血压，并就健康的生活方式提供个性化的咨询服务。共有303名患者完成了1年的随访。干预组或对照组均未观察到收缩压的变化。由于对照组的舒张压升高（P = .03），因此在随访时发现两组之间的平均舒张压差异（P = .007）。干预组的随访平均血压为139/82 mm Hg，对照组为142/86 mm Hg。线性回归分析表明，出院时的血压是一年后血压的最强预测因子（P <.0001）。干预组中接受降压药物治疗的患者比例增加（P = .002）。患者符合降压治疗的要求，干预组中92％的高血压患者遵照建议去看全科医生（GP）进行BP检查。随访时，有187例患者（62％）为高血压，两组之间的高血压发生率无差异。我们的数据表明，护士的家访不会导致血压降低。患有高血压的患者应遵循降压治疗和全科医生就诊。尽管如此，大多数患者在1年的随访中都患有高血压。

著录项

相似文献

  • 外文文献
  • 中文文献
  • 专利
获取原文

客服邮箱：kefu@zhangqiaokeyan.com

京公网安备：11010802029741号 ICP备案号：京ICP备15016152号-6 六维联合信息科技 (北京) 有限公司©版权所有

  • 客服微信

  • 服务号