非心脏手术围手术期对高血压患者施行血压控制后的疗效及患者满意度调查

Investigation on the effect and satisfaction of patients with hypertension after blood pressure control during perioperative period of non-cardiac surgery

目的探讨非心脏手术围手术期对高血压患者施行血压控制后的疗效及患者满意度。方法选取武警福建总队医院2017年10月至2018年10月收治的高血压患者,按照控制方法不同分为观察组和对照组,各32例。对照组患者采用常规方法控制血压,观察组患者根据患者的血压水平,对药物类型进行调整,分级控制血压。观察并两组患者干预前及干预3个月后的血压和心率(HR)。术中通过对血压、HR、呼吸等生命体征的监测,观察两组患者有无应激反应和术后并发症发生率。比较两组患者满意度。结果干预3个月后,观察组患者的SBP、DBP和HR均低于对照组,差异有统计学意义(P<0.05)。两组患者手术成功率、应激反应生率和并发症发生率比较,差异无统计学意义(P>0.05)。观察组患者在术前、术中和术后的满意度评分均高于对照组患者,差异有统计学意义(P<0.05)。结论根据高血压患者的血压分级情况,针对性的对高血压患者非心脏手术围手术期血压进行控制,可有效预防血压升高,降低术中应激反应及术后并发症发生率,确保手术安全,提升患者满意度。

Objective To analyze the effect of blood pressure control on patients with hypertension during and after noncardiac surgery and the satisfaction of patients.Method According to the different control methods,the patients with hypertension admitted to Fujian Armed Police Corps Hospital from October 2017 to October 2018 were divided into the observation group and the control group,with 32 cases in each group.The patients in the observation group adjusted the type of drugs according to the blood pressure level of the patients,and controlled the blood pressure step by step.Blood pressure and heart rate(HR)were observed before and 3 months after intervention.By monitoring blood pressure,HR,respiration and other vital signs during the operation,we observed whether there was stress response and the incidence of postoperative complications in the two groups.The patients’satisfaction was compared between the two groups.Result After 3 months of intervention,the SBP,DBP and HR in the observation group were lower than those in the control group,and the difference was statistically significant(P<0.05).There was no significant difference in surgical success rate,stress response rate and complication rate between the two groups(P>0.05).The satisfaction scores of the patients in the observation group were higher than those in the control group before,during and after operation,and the difference was statistically significant(P<0.05).Conclusion According to the classification of hypertension patients’blood pressure,it can effectively prevent the increase of blood pressure,reduce the incidence of stress reaction and postoperative complications,ensure the safety of operation,and improve the satisfaction of patients.