高等医療病院における手術患者における白衣高血圧の流行:横断的観察研究
1Department of Anesthesiology, Aga Khan University Hospital, Karachi, PAK.
Cureus
|September 5, 2025
まとめ
ホワイトコート高血圧 (WCH) は,手術患者の41.3%に,特に女性に影響します. 手術でのWCHの早期診断は,患者の改善と不必要な手術のキャンセルを防ぐために不可欠です.
科学分野:
- 心臓病科
- 高血圧 研究
- 手術患者の管理
背景:
- ホワイトコート高血圧 (WCH) は手術患者の診断上の課題であり,臨床決定に影響を及ぼします.
- 病院で血圧が上昇し,自宅で血圧が正常な場合は,慎重に評価する必要があります.
- WCHの罹患率を理解することは,手術のケアと患者のアウトカムを最適化するための鍵です.
研究 の 目的:
- 選択手術患者のWCHの流行を決定する.
- WCHと人口統計的要因,手術の種類,待ち時間との関連を調査する.
- 術後期におけるWCHの臨床的重要性を強調する.
主な方法:
- 選択手術を受けた成人の患者150人を対象とした横断的な研究.
- 診療室での血圧測定は,診療室での測定と比較した.
- 人口統計,手術の種類,手術前の待ち時間に関するデータ
主要な成果:
- 研究された外科患者のWCHの罹患率は41. 3%であった.
- WCHは女性患者でより一般的であり,特定の手術タイプ (腫瘍切除,腎臓,神経外科) と関連していました.
- 長い手術前の待機時間は,WCHのより高い発生率と有意に関連していました.
結論:
- WCHは手術を受けた患者で多く見られ,エッセンシャル高血圧と区別する必要があります.
- WCHの早期診断と治療は手術のキャンセルを減らし,患者のアウトカムを改善することができます.
- 非薬理学的および薬理学的介入を含むWCH管理戦略は,本質的な高血圧とは異なります.
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