超级肥胖合并高血压围手术期管理流程

Perioperative management process for super obesity with hypertension

近年来,由于生活方式及饮食结构的改变,我国超重及肥胖人群数量明显增多,并且肥胖程度也越来越严重。接受减重代谢手术的超级肥胖合并高血压患者也越来越多。对于此类患者围手术期血压的控制与规范管理对患者预后影响重大,但是目前针对超级肥胖合并高血压患者围手术期血压的管理流程,仍然缺少相应的理论、经验和证据指导。笔者对超级肥胖合并高血压患者术前、术中、术后血压管理流程进行探讨及总结,以期提高此类患者减重手术的安全性,减少甚至避免术中、术后并发症的发生。

In recent years, due to the changes in lifestyle and diet structure, the number of overweight and obese people has increased obviously in China, and the degree of obesity is increasingly serious. The number of extremely obese patients with concomitant hypertension undergoing bariatric metabolic surgery is also on the rise. The control and standardized management of perioperative blood pressure in such patients have a significant impact on their prognosis. However, the current management process of perioperative blood pressure in patients with super obesity and hypertension still lacks the corresponding theory, experience, and evidence guidance. Herein, the authors discuss and summarize the pre-, intra-, and postoperative blood pressure management process of super obese patients with hypertension to improve the safety of bariatric surgery for such patients and reduce or even avoid the occurrence of intra-and postoperative complications.