术前高血压及血压控制与否对中短期心血管预后的影响

发布时间：2018-08-01 09:55

【摘要】：目的通过单中心单盲队列研究非心脏手术患者术前高血压状态对术后心血管功能的影响以及高血压患者手术前的血压控制与否对于术后中短期心血管预后的影响。方法73例拟行限(择)期胃肠道手术的患者,按既往血压及其治疗干预情况分为对照组(无高血压,n=22)、控制组(n=32)及未控制组(n=19)。术后第1及第5天检测血液中的NT-proBNP,记录术后住院时间,于出院后3个月和6个月随访患者预后心血管状况及并发症情况,归纳汇总分析。结果对照组、控制组和未控制组的术后第1天NT-proBNP分别为196.45± 131.82pg/ml\205.41±217.41pg/ml、179.66±84.02pg/ml(P0.05)；术后第5天的NT-proBNP均值为134.83±165.09pg/ml.152.91±168.45pg/ml、 153.21±108.82pg/ml(P0.05):住院天数为8.00±4.65天、7.80±2.31天、12.60±13.11天,末控制组的术后住院天数显著长于控制组和对照组(P0.05)。术后中期随访心血管并发症发生率为0/22、1/32、2/19,X2=2.92(P0.05)。结论术前对于高血压患者严格控制血压在正常范围内并也许不能显著减少术后中短期心血管事件的发生概率,但可以缩短患者术后住院天数。
[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. 缁撴灉瀵圭収缁，

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