【摘要】：目的通過單中心單盲隊列研究非心臟手術(shù)患者術(shù)前高血壓狀態(tài)對術(shù)后心血管功能的影響以及高血壓患者手術(shù)前的血壓控制與否對于術(shù)后中短期心血管預(yù)后的影響。方法73例擬行限(擇)期胃腸道手術(shù)的患者,按既往血壓及其治療干預(yù)情況分為對照組(無高血壓,n=22)、控制組(n=32)及未控制組(n=19)。術(shù)后第1及第5天檢測血液中的NT-proBNP,記錄術(shù)后住院時間,于出院后3個月和6個月隨訪患者預(yù)后心血管狀況及并發(fā)癥情況,歸納匯總分析。結(jié)果對照組、控制組和未控制組的術(shù)后第1天NT-proBNP分別為196.45± 131.82pg/ml\205.41±217.41pg/ml、179.66±84.02pg/ml(P0.05)；術(shù)后第5天的NT-proBNP均值為134.83±165.09pg/ml.152.91±168.45pg/ml、 153.21±108.82pg/ml(P0.05):住院天數(shù)為8.00±4.65天、7.80±2.31天、12.60±13.11天,末控制組的術(shù)后住院天數(shù)顯著長于控制組和對照組(P0.05)。術(shù)后中期隨訪心血管并發(fā)癥發(fā)生率為0/22、1/32、2/19,X2=2.92(P0.05)。結(jié)論術(shù)前對于高血壓患者嚴(yán)格控制血壓在正常范圍內(nèi)并也許不能顯著減少術(shù)后中短期心血管事件的發(fā)生概率,但可以縮短患者術(shù)后住院天數(shù)。
[Abstract]:Objective to study the effect of preoperative hypertension on postoperative cardiovascular function in patients with non-cardiac surgery and the effect of pre-operative blood pressure control on the prognosis of patients with non-cardiac surgery by single-center and single-blind cohort. Methods according to the past blood pressure and its intervention, 73 patients were divided into three groups: control group (no hypertension), control group (n = 32) and control group (n = 19). The blood NT-proBNPs were measured on the 1st and 5th day after operation, and the postoperative hospitalization time was recorded. The prognosis, cardiovascular status and complications of the patients were followed up 3 months and 6 months after discharge, and summarized and analyzed. 緇撴灉瀵圭収緇，

本文編號：2157200