腹部手术术后镇痛对高血压患者血压影响

Effect of Postoperative Analgesia on Blood Pressure in Patients With Essential Hypertension

目的观察腹部手术术后镇痛对高血压患者血压影响。方法选取我院腹部手术高血压患者75例。随机分为3组,各25例:I组静脉镇痛(舒芬太尼+格拉司琼+地佐辛);II组硬膜外镇痛(吗啡+氟哌利多+耐乐品);对照组常规镇痛。比较三组术后1 h、12 h血压、心率及血氧饱和度。结果 I组和II组术后各时间点血压和HR均低于对照组(P<0.05)。结论腹部手术术后静脉镇痛和硬膜外镇痛均可降低高血压患者的血压和心率,提高血氧饱和度。

Objective To observe the effect of postoperative analgesia on blood pressure in patients with essential hypertension. Methods 75 patients with hypertension in our hospital were selected, were randomly divided into 3 groups, 25 cases each： group I intravenous analgesia（sufentanil ＋ granisetron ＋ dezocine）, group II epidural analgesia（morphine ＋ droperidol ＋ naropin）, the control group received routine analgesia. The blood pressure, heart rate and blood oxygen saturation were compared between the three groups after 1 h and 12 h. Results The blood pressure and HR in I group and II group were lower than those in control group（P〈0.05）. Conclusion Intravenous analgesia and epidural analgesia after abdominal surgery can reduce blood pressure and heart rate, increase blood oxygen saturation in patients with hypertension.