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系统性高血压和术后症状性脊髓外周血瘤:一个范围审查

Lewis Robinson¹, Patrice Forget², David Nesvadba¹

¹Department of Anesthesia, NHS Grampian.

Journal of neurosurgical anesthesiology

|December 1, 2023

概括

在脊柱手术前和后不受控制的高血压增加了术后症状脊柱外周血瘤 (PSSEH) 的风险. 控制血压对于预防这种严重并发症至关重要.

科学领域:

神经外科神经外科
麻醉学麻醉学
流行病学流行病学

背景情况:

手术后的症状性脊柱外周血瘤 (PSSEH) 是脊柱手术后的一种严重并发症.
高血压越来越被认为是PSSEH发展的潜在风险因素.

研究的目的:

系统地审查有关高血压和PSSEH之间的关联的现有文献.
评估手术前和手术后血压对PSSEH风险的影响.

主要方法:

在MEDLINE/PubMed,Embase和Cochrane图书馆进行了全面的文献搜索.
包括18项调查PSSEH的研究,报告了高血压和血压数据.
对观察数据分析,将高血压状态和血压水平与PSSEH发生情况联系起来.

主要成果:

观察数据表明,与未经控制的手术前高血压相关的PSSEH风险较高.
输出过程中静心血压升高和术后静心血压升高与增加PSSEH风险有关.
由于研究的局限性,证据的整体质量很低.

结论:

研究结果表明,术前血压目标和术后管理是预防PSSEH的重要考虑因素.
需要进一步进行精心控制的研究,以澄清血压和PSSEH之间的确切关系.
本综述强调了在接受脊柱手术的患者中需要仔细管理血压的必要性.

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