伴高血压的鼻部阻塞性疾病患者术后血压观察

Blood pressure changes in patients with nasal obstruction accompanied by persistent hypertension after nasal endoscopic surgery

目的:探讨伴高血压的鼻部阻塞性患者手术治疗后血压的变化。方法:鼻内窥镜下手术治疗伴高血压的鼻部阻塞性疾病患者58例,观察术前及术后2周、6个月血压的变化。结果:58例术前、术后2周和术后6个月收缩压为(164.5±63.1)mmHg(、143.0±51.6)mmHg和(141.0±59.8)mmHg;舒张压为(96.0±52.3)mmHg(、82.2±38.4)mmHg和(80.4±41.5)mmHg;术前收缩压和舒张压均比术后2周、6个月下降(P<0.01)。结论:经适当的术前准备,选择鼻内窥镜下解除鼻腔阻塞手术,可帮助伴高血压的鼻部阻塞性患者更好地控制血压。

Objective： To study the changes of blood pressure in patients with nasal obstruction accompanied by persistent hypertension after nasal endoscopic surgery （NES）. Methods： Nasal endoscopic surgery was performed on 58 patients. The blood pressure was detected before operation, two weeks and six months after operation. Results： The systolic pressure before operation, two weeks and six months after operation was （ 164.5 ± 63.1）mmHg, （ 143.0 ± 51.6） mmHg and （ 141.0 ±59.8） mmHg; the diastolic pressure was （96.0 ± 52.3） mmHg, （82.2 ± 38.4） mmHg and （80.4 ± 41.5） mmHg respectively. Both systolic and diastolic blood pressures were lower two weeks and six months after operation than before operation （P 〈 0.01）. Conclusion： NES as an assistant method is effective for controlling blood pressure of the patients with nasal obstruction accompanied by persistent hypertension.