ISSN 2097-6046(网络)
ISSN 2096-7446(印刷)
CN 10-1655/R
主管:中国科学技术协会
主办:中华护理学会

中华急危重症护理杂志 ›› 2026, Vol. 7 ›› Issue (4): 456-458.doi: 10.3761/j.issn.2096-7446.2026.04.012

• 重症护理研究 • 上一篇    下一篇

神经源性直立性低血压合并仰卧位高血压患者的护理

孙春艳(), 胡蕾*()   

  1. 南京鼓楼医院心血管内科 南京市 210008
  • 收稿日期:2025-06-05 出版日期:2026-04-10 发布日期:2026-04-02
  • 通讯作者: 胡蕾 E-mail:scyzmmyffxx@126.com;hulei080329@163.com
  • 作者简介:孙春艳:女,硕士,主管护师,E-mail:scyzmmyffxx@126.com
  • 基金资助:
    南京市卫生科技发展专项资金项目(ZKX24025)

Nursing care of a patient with neurogenic orthostatic hypotension and associated supine hypertension

SUN Chunyan(), HU Lei*()   

  1. Department of CardiologyNanjing Drum Tower HospitalNanjing 210008, China
  • Received:2025-06-05 Online:2026-04-10 Published:2026-04-02
  • Contact: HU Lei E-mail:scyzmmyffxx@126.com;hulei080329@163.com
  • Supported by:
    Nanjing Health Science and Technology Development Special Fund Project(ZKX24025)

摘要:

总结1例神经源性直立性低血压合并仰卧位高血压患者的护理体会。针对该患者体位性血压变化、易跌倒、多重慢病知识缺乏等护理问题,采取“多学科-绿色通道”诊疗、“体位-容量-药物”三位一体控压、“前馈-实时-应急-后馈”全过程跌倒预防、“评估-处方-监控”个体化运动康复及清单式精准赋能健康教育等措施。经过7 d的治疗及护理,患者病情稳定出院。出院后随访3个月,患者状况良好。

关键词: 低血压,直立性, 仰卧位高血压, 重症监护病房, 危重病护理

Abstract:

To summarize the nursing experience of a patient with neurogenic orthostatic hypotension and associated supine hypertension. To address the issues of the patient’s positional blood pressure changes,susceptibility to fall and lack of knowledge about multiple chronic diseases,measures such as multidisciplinary-green channel treatment,“position-volume-medication” pressure control,“feedforward-real time-emergency-feedback” whole-process fall prevention,“assessment-prescription-monitoring” personalized exercise rehabilitation and checklist-guided precision empowerment of health education were adopted. After 7 days of treatment and care,the patient’s condition stabilized and discharged from the hospital. After a 3-month follow-up after discharge,the patient’s condition was good.

Key words: Hypotension,Orthostatic, Supine Hypertension, Intensive Care Units, Critical Care Nursing