在接受选择性手术的患者中影响手术前血压波动的因素:回顾性观察性研究
Zifei Cheng1, Lihui Zhang1, Minglei Liu1
1Department of Anesthesiology, Hulunbuir People's Hospital, Hulunbuir, Inner Mongolia, People's Republic of China.
International journal of general medicine
|March 25, 2025
概括
手术前的血压波动影响了超过40%的接受选择性手术的患者. 高龄,高血压和睡眠不足是关键的危险因素,需要针对性干预以获得更好的患者结果.
科学领域:
- 麻醉学 麻醉学
- 心血管医学 心血管医学
- 手术患者护理手术患者护理
背景情况:
- 手术前血压 (BP) 变化是选择性外科手术的一个问题.
- 了解影响血压波动的因素对于患者安全至关重要.
研究的目的:
- 确定手术前血压波动的独立风险因素.
- 在接受选择性手术的患者中研究影响血压变化的因素.
主要方法:
- 在776名接受选择性手术的患者进行了回顾性观察性研究.
- 术前BP波动定义为与基线>20%的变化.
- 多变量物流回归分析以确定风险因素.
主要成果:
- 42.27%的患者经历了显著的手术前血压波动.
- 年龄较大 (OR=1.021),手术前高血压 (OR=1.785),睡眠时间较短 (OR=0.835) 是独立的风险因素.
- 平均静脉血压增加了12.98 mmHg,而心压增加了6.67 mmHg.
结论:
- 老年,手术前高血压和睡眠不足是BP波动的重要风险因素.
- 需要有针对性的术前干预措施来管理血压变化.
- 应特别注意老年人,高血压患者,睡眠不良.
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