血压波动模式与90天的缺血性中风和膝关节关节整形术后的过渡性缺血性心脏病发作相关 - - 一项回顾性研究
Xiao An1,2, Yan Zhang3, Zhirui Li2
1PLA General Hospital, Medical College of Chinese PLA, Beijing, China.
Orthopaedic surgery
|December 19, 2023
概括
在全膝关节整形术 (TKA) 后血压波动与中风风险有关. 特定的模式,如T5,表明在手术后90天内中风的可能性更高.
科学领域:
- 整形外科手术 整形外科手术
- 神经学 神经学
- 心血管医学 心血管医学
背景情况:
- 血压 (BP) 的波动是已知的中风风险因素.
- 在全膝关节整形术 (TKA) 后血压波动对中风发生的影响尚不清楚.
- 在TKA后早期识别中风风险对于患者的治疗结果至关重要.
研究的目的:
- 在初级TKA后经历中风或过渡性缺血性发作 (TIA) 的患者中调查血压波动模式.
- 为了比较不同血压波动模式的临床特征.
- 为了确定血压波动模式是否预测TKA后90天的中风风险.
主要方法:
- 从2011年至2021年,对1687名接受初级TKA的患者进行了回顾性研究.
- 包括在TKA后90天内发生中风或TIA的患者.
- 在TKA后的前3天使用后勤回归分析了人口统计,并发病,药物,手术细节和血压波动模式.
主要成果:
- 4.0%的患者经历了90天的中风或TIA.
- 观察到T5BP波动模式在55.6%的中风/TIA患者中,并与年龄较大和更大的SBP减少有关.
- 平均SBP波动≥40mmHg和T5模式被确定为TKA后90天中风或TIA的独立风险因素.
结论:
- 术后早期的血压波动模式与初级TKA后的90天中风和TIA风险有显著的关联.
- T5BP波动模式和显著的SBP波动 (≥40 mmHg) 是TKA后不良脑血管事件的关键预测因素.
- 这些发现强调了监测TKA患者血压变化的重要性,以减轻中风风险.
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