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김성렬 ( Kim Sung-Reul ) - 서울아산병원
채현숙 ( Chae Hyun-Sook ) - 서울아산병원
윤미정 ( Youn Mi-Jung ) - 서울아산병원
박수영 ( Park Su-Young ) - 서울아산병원
정다희 ( Jung Da-Hee ) - 서울아산병원
이향희 ( Lee Hyang-Hee ) - 서울아산병원
정선주 ( Chung Sun-Ju ) - 서울아산병원
안영희 ( An Young-Hee ) - 서울아산병원
김경옥 ( Kim Kyoung-Ok ) - 서울아산병원
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Abstract
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Purpose: Head-up position during sleep is one of the non-pharmacologic interventions for the treatment of orthostatic hypotension. Because the head-up position causes discomfort in many patients, this approach may not be acceptable to all patients. We compared the systolic blood pressure in erect position, orthostatic hypotension, orthostatic disability score, and the improvement rates of orthostatic hypotension between the 20 cm head-up group and the 10 cm head-up group.
Methods:A control pre/post-test design was used. Between August 1, 2009 and November 15, 2010, we consecutively enrolled patients who showed orthostatic hypotension in patients with Parkinsonian disorders. Sixty-seven patients were prospectively enrolled and forty-four patients were completed the study.
Results: There were no statistically significant differences found in the systolic blood pressure in erect position, orthostatic hypotension, and orthostatic disability scores between the two groups. However, five patients showed improvement in 20 cm head-up group and one patient was showed improvement in 10 cm head-up Group.
Conclusion:Orthostatic hypotension is decreased with 20 cm head-up position in some patients with Parkinsonian disorders (p=.034). Further research investigating the relationships between orthostatic hypotension and head-up position are warranted.
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KeyWords
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기립성 저혈압, 파킨슨증
Orthostatic hypotension, Parkinsonian disorders
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원문 및 링크아웃 정보
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등재저널 정보
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