切术后出现的高血压:一个范围审查
Fatima Gauhar1, Naveed Kamal1, Patrick D Kelly1
1Department of Neurosurgery, Vanderbilt University Medical Center, Nashville, TN 37232, United States.
概括
切术后出现高血压 (PCEH) 的定义和管理有很大差异. 建立共识定义对于更好地理解和治疗这种常见的神经外科手术后血压升高至关重要.
科学领域:
- 神经外科 神经外科
- 麻醉学 麻醉学
- 心血管医学 心血管医学
背景情况:
- 骨切除术后出现的高血压 (PCEH) 是骨切除术后常见的短暂血压升高.
- 现有的文献显示了PCEH定义和流行率的显著变化.
研究的目的:
- 描述现有的关于诊断和管理脑骨切除术后出现高血压的文献.
- 确定PCEH的定义和治疗中的不一致性.
主要方法:
- 在六个电子数据库中对21篇文章进行了范围审查.
- 用Joanna Briggs研究所的批判性评估清单来评估文学质量.
主要成果:
- 对于PCEH的定义是异质的,使用了各种血压标准 (平均动脉,缩或两者兼而有之).
- 管理包括通过动脉线监测和抗高血压药物的早期检测,尼卡迪平可能比β-阻断剂优越.
- PCEH可能会增加术后出血和ICU停留时间的风险.
结论:
- 在PCEH定义,监测和管理方面存在显著的变化.
- 需要对PCEH达成共识的定义,以实现更强大的临床研究和改善患者的治疗结果.
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