老年人围手术期血压变化

Changes of blood pressure in elderly hypertensive patients during perioperative period

随着人口老龄化,老年高血压患者的患病率逐年增加,需选择外科手术的老年高血压患者也逐渐增多。由于围手术期发生的生理性变化,血流动力学不稳定在围手术期很常见。尽管存在这种血流动力学改变频率及与其相关的潜在危害,特别是在老年人群中,但缺乏优化围手术期血压的指南。低血压与围手术期的不良结果有关,特别是肾损伤、心肌损伤和死亡率增加。个性化血压可能是老年人围手术期血压管理的关键。

With the aging of the population,the prevalence rate of elderly patients with hypertension is increasing year by year and the number of elderly patients with hypertension who need surgery is also increasing gradually.Hemodynamic instability is common during the perioperative period because of the physiological changes that occur during such period.Despite the frequency of this hemodynamic change and the potential harm associated with it,especially in the elderly population,guidelines for optimizing perioperative blood pressure are lacking.Hypotension is associated with adverse perioperative outcomes,particularly kidney injury,myocardial injury,and increased mortality.Personalized management may be the key to perioperative blood pressure control in elderly patients.