术后血压优化改善骨科患者的治疗结果:临床综述
Yu-Fan Yang1,2, Xiaqing Ma3,4, Mudussar Abrar Ahmad5
1Department of Anesthesiology, First Affiliated Hospital of Soochow University, Suzhou, Jiangsu, People's Republic of China.
Therapeutics and clinical risk management
|December 15, 2025
概括
在骨科手术期间控制血压对于高风险患者来说是关键. 个性化策略通过保持平均动脉压在基线的10-20%以内来减少并发症.
科学领域:
- 麻醉学 麻醉学
- 整形外科手术 整形外科手术
- 关键护理医学 关键护理医学
背景情况:
- 术后血压 (BP) 波动与骨科手术中的术后并发症有关.
- 高风险患者由于这些血液动力学变化而面临增加的发病率.
- 目前关于个性化BP管理的证据需要综合.
研究的目的:
- 在骨科外科手术中,审查当前关于在外科手术期间个性化血压管理的证据.
- 突出针对弱势群体的程序特定风险和考虑因素.
- 推一种多学科的方法,以改善患者的治疗结果.
主要方法:
- 临床审查综合现有证据.
- 分析程序特定的风险 (例如,骨质水泥植入综合症,围效应,沙椅位置).
- 考虑易受伤害的患者群体 (老年人,抗凝药).
主要成果:
- 保持平均动脉压在基线的10-20%以内与更好的结果有关.
- 量身定制的麻醉,目标导向的流体疗法和持续监测至关重要.
- 个性化管理平衡出血和血栓风险.
结论:
- 建议采用多学科,风险分层的方法来进行外科手术期间的血压管理.
- 这一策略旨在降低患病率,提高骨科外科手术的术后结果.
- 需要进一步的研究来验证个性化的BP目标和先进的血液动力学监测.
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