老年高血压患者腹部手术围术期的血压管理研究

Study on blood pressure management in perioperative period of elderly hypertensive patients with abdominal operation

目的:探讨老年高血压患者腹部手术围术期的血压管理方法,以为其治疗提供更好的依据,达到减少并发症发生率和早日康复的目的。方法:选取2007年12月～2009年1月于我院施行腹部手术的77例老年高血压患者为研究对象,将其随机分为A组(38例)和B组(39例),A组采取针对性的细致管理控制,B组根据其血压分级进行管理,后将两组的治疗效果及并发症发生率进行比较研究。结果:不同方式的血压管理,对于围术期且行腹部手术的老年高血压患者效果明显不同,且并发症发生率差异也较大,A组与B组比较,差异有统计学意义(P<0.05)。结论:对老年高血压患者腹部手术围术期的管理应采取细致的个体化管理,对于减少并发症发生率和早日康复意义重大,值得临床进一步研究。

Objective：To study the methods of blood pressure management in perioperative period of elderly hypertensive patients with abdominal operation,in order to provide evidence for the treatment and achieve the goal of reducing the incidence of complications and early rehabilitation.Methods：From December 2007 to January 2009 in our hospital,77 cases of elderly hypertensive patients with abdominal operation were selected for the study,they were randomly divided into group A（38 cases） and group B（39 cases）,group A were treated with careful blood pressure management,group B were treated based on blood pressure grade.Then the effects and complication rates were compared and studied.Results：Management of blood pressure in different ways for perioperative and abdominal surgery in elderly hypertensive patients had significantly different results,and the difference in the incidence of complications was also higher,group A compared with group B,the difference was statistically significant（P0.05）.Conclusion：Careful blood pressure management on blood pressure management in perioperative period of elderly hypertensive patients with abdominal operation,is signality in reducing the incidence of complications and early rehabilitation,and is worth of further studying.