术后低血压对手术后恶心和吐的影响 在接受正视手术的患者中
Sulin Tang1, Rongrong Huang1, Lili Guo1
1Department of Anesthesiology, Stomatology Hospital, School of Stomatology, Zhejiang Provincial Clinical Research Center for Oral Diseases, Key Laboratory of Oral Biomedical Research of Zhejiang Province, Zhejiang University School of Medicine, Cancer Center of Zhejiang University, Hangzhou, 310016, China.
Journal of stomatology, oral and maxillofacial surgery
|October 9, 2025
概括
术内低血压 (IOH) 是一个风险因素的术后恶心和吐 (PONV) 经过正体手术. 低平均动脉压 (MAP) 的特定持续时间显著增加了PONV风险.
科学领域:
- 麻醉学 麻醉学
- 外科手术的结果
- 患者安全 患者安全
背景情况:
- 手术后恶心和吐 (PONV) 是经过整形手术后的常见并发症.
- 确定可修改的风险因素对于改善患者的治疗结果至关重要.
研究的目的:
- 为了研究手术内低血压 (IOH) 和在正手术患者中PONV发生率之间的关联.
- 确定与PONV相关的低血压的具体门和持续时间.
主要方法:
- 对287名接受正手术的患者进行了回顾性队列研究.
- 使用曲线下的面积 (AUC),时间加权平均值 (TWA) 和在定义值以下的累积时间 (≤65,≤60,≤55 mmHg) 分析平均动脉压 (MAP).
主要成果:
- 与非PONV患者相比,经历PONV的患者在所有值中对MAP的AUC和TWA显著更高.
- 长时间的低血压 (MAP ≤60 mmHg>10分钟或MAP ≤55 mmHg>5分钟) 与PONV风险增加显著相关.
结论:
- 内手术性低血压 (IOH) 是整形手术中PONV的重要危险因素.
- 中度至重度低血压的特定持续时间 (MAP 50-60 mmHg>10分钟或MAP ≤55 mmHg>5分钟) 与PONV发病率密切相关.
相关概念视频
General Anesthesia: Overview
568
Anesthesia is a medical procedure that uses drugs for CNS suppression to enable painless surgeries and procedures. The selection of anesthetics is influenced by their pharmacokinetic properties, side effects, and patient characteristics. Various types of anesthesia include general, local, regional, spinal, and inhalational.
General anesthesia induces unconsciousness in the whole body, while the others target specific areas or sensations. It is administered to minimize adverse effects, maintain...
General anesthesia induces unconsciousness in the whole body, while the others target specific areas or sensations. It is administered to minimize adverse effects, maintain...
568
Cardiomyopathy VII: Pre and Post Operative Nursing Management
285
Patients with hypertrophic cardiomyopathy (HCM) and left ventricular outflow tract (LVOT) obstruction who remain symptomatic despite optimal medical therapy may undergo a septal myectomy (Morrow procedure). This procedure involves excising a portion of the hypertrophied septum below the aortic valve using a heart-lung machine to improve blood flow through the LVOT. Effective preoperative and postoperative nursing management ensures successful patient outcomes, minimizes complications, and...
285
Stages of General Anesthesia
1.5K
Various sedation levels offer significant advantages in facilitating procedural interventions for patients undergoing medical or invasive surgical procedures. These levels span from anxiolysis to general anesthesia, providing a spectrum of sedative effects to cater to specific patient needs. Anxiolysis reduces anxiety and is achieved through minimal sedation, enabling patients to remain awake and responsive while feeling more at ease during the procedure. This level can benefit minor...
1.5K
Aneurysm IV: Nursing Management
375
Vigilant monitoring for aneurysm rupture is essential for patients undergoing aortic surgery.Preoperative Nursing ManagementContinuously monitor the patient for manifestations of aneurysm rupture, such as pallor, weakness, tachycardia, hypotension, abdominal, back, groin, or periumbilical pain, changes in consciousness, and a pulsating abdominal mass. Regularly assess the patient's peripheral pulses.Instruct the patient to consume a clear liquid diet the day before surgery and administer...
375
Parenteral Anesthetics: Overview
579
Intravenous anesthetics are drugs administered parenterally to induce anesthesia or sedation. Propofol is a widely used agent formulated as a 1% emulsion in soybean oil, glycerol, and egg phosphatide. It induces rapid anesthesia primarily due to its rapid distribution from the bloodstream to target tissues and is metabolized in the liver. However, it can cause significant pain on injection and hypertriglyceridemia. Fospropofol, a water-based prodrug of propofol, lacks these adverse effects.
579
Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy
560
Sigmoidoscopy and laparoscopy are distinct medical procedures that enable physicians to internally inspect different parts of the GI tract. Although they serve different purposes, each is essential for diagnosing and, in some cases, treating various medical conditions.
Sigmoidoscopy
Sigmoidoscopy is a diagnostic procedure that uses a flexible sigmoidoscope equipped with a light source and camera to examine the rectum and sigmoid colon. The procedure involves inserting the tube through the anus...
Sigmoidoscopy
Sigmoidoscopy is a diagnostic procedure that uses a flexible sigmoidoscope equipped with a light source and camera to examine the rectum and sigmoid colon. The procedure involves inserting the tube through the anus...
560

