服用降压药至术晨对高血压患者围术期血流动力学的影响  

Morning taking antihypertensive effects on hemodynamics in patients with hypertension

作　　者：孙希芝[1] 于建宏[1] 姜秀良[1] 李志[1] 

机构地区：[1]青岛大学医学院附属烟台毓璜顶医院麻醉科,山东烟台264000

出　　处：《泰山医学院学报》2011年第7期507-508,共2页Journal of Taishan Medical College

摘　　要：目的探讨高血压患者降压药服用至术晨对围术期血流动力学的影响。方法选择合并高血压的甲状腺肿瘤患者100例,随机分为对照组和观察组,对照组术前按常规要求禁食,术晨停止服用降压药;观察组继续服用降压药至术晨。所有患者均采用气管插管全凭静脉麻醉。观察诱导前即刻、气管插管后1 min及拔除气管插管后1min的心率和血压,并观察两组返流误吸的发生率。结果对照组诱导前即刻、气管插管后1 min及拔除气管插管后1 min的心率、血压明显较观察组高(P﹤0.05)。两组返流误吸发生率无明显差异。结论合并高血压的择期手术患者围术期应继续服用降压药至术晨,有利于围术期血流动力学的稳定,且不增加返流误吸的发生率。Objective： To investigate patients with hypertension morning taking antihypertensive drugs in the morning on perioperative heart rate,blood pressure and complications of anesthesiology.Methods： 100 thyroid disease patients with hypertension were randomly divided into control group and observation group.The control group had fasting in the morning according to the general requirements of preoperative;observation group continued to take antihypertensive drugs in the morning.All patients had total intravenous anesthesia with tracheal intubation.We recorded heart rates and blood pressure,and complications of anesthesiology immediately before induction,after intubation after 1min and extubation after 1 min.Results： In the control group the heart rate and blood pressure in different times were significantly higher than those in the observation group（P0.05）.The complications of anesthesiology of two groups were not significantly different.Conclusion： The patients with hypertension undergoing selective operation should continue taking antihypertensive in the morning,which is beneficial to maintaining the stability of perioperative hemodynamic,without increasing the incidence of complications of anesthesiology.

关 键 词：高血压 围术期 血流动力学 

分 类 号：R614[医药卫生—麻醉学]