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在老年部骨折患者脊髓麻醉后预防低血压的腿部压缩
Noratep Kulachote1, Panupong Chatareeyagul1, Norachart Sirisreetreerux1
1Department of Orthopedics, Mahidol University, Bangkok, Thailand.
概括
医疗压缩可能有助于预防接受部骨折 (HF) 手术的老年患者的外科手术期间低血压 (PeH). 这种干预措施降低了同时发生的手术内和术后低血压,可能降低了相关并发症.
科学领域:
- 老年创伤的治疗方法
- 整形外科手术 整形外科手术
- 血管生理学 血管生理学
背景情况:
- 骨折 (HF) 是老年人死亡和发病的一个重要原因.
- 术周低血压 (PeH) 是老年手术中常见的并发症,导致不良结果.
- 腿部压缩在产科手术中减轻PeH方面表现有前途.
研究的目的:
- 评价医疗压缩在预防HF手术的老年患者中预防PeH的疗效.
- 评估压缩对手术内,手术后和同时出现的低血压的影响.
- 为了确定对低血压相关并发症和血管压缩剂使用的影响.
主要方法:
- 一项随机对照试验,涉及60名接受HF手术的老年患者.
- 患者被分配到压缩 (CS) 组或没有压缩 (NCS) 组 (30个).
- 在麻醉后将压缩应用于未受伤的腿部,并在24小时后将其移除;用三种方法测量低血压.
主要成果:
- 与NCS组相比,CS组的同时发生的手术内和术后低血压 (CoIPH) 发生率明显较低 (0对6名患者,p=0.02).
- 在CS组中观察到,术后低血压 (PoH) 和相关并发症发生率较低的非显著趋势.
- 两组之间没有发现手术内低血压 (IoH) 或需要手术内血管压缩剂的显著差异.
结论:
- 医疗压缩似乎可以降低接受关节骨折手术的老年患者的外科手术期间的低血压.
- 使用压缩可能有助于预防医院内低血压相关的并发症.
- 需要进一步的研究来证实这些发现并优化应用协议.
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