低血压预测指数引导下术中血流动力学护理对老年患者术后低血压的发生和术后康复的影响  

Effect of intraoperative hemodynamic nursing guided by hypotension prediction index on the occurrence of postoperative hypotension and postoperative rehabilitation in elderly patients

作　　者：苏晨露 刘晓燕 符奋 郑泽纯 SU Chenlu;LIU Xiaoyan;FU Fen;ZHENG Zechun(Anesthesia Surgery Center,Affiliated Hospital of Guangdong Medical University,Zhanjiang,Guangdong 524000,China)

机构地区：[1]广东医科大学附属医院麻醉手术中心,广东湛江524000

出　　处：《医药前沿》2025年第9期93-95,99,共4页Journal of Frontiers of Medicine

基　　金：湛江市科技计划项目(2023B01231)。

摘　　要：目的探讨低血压预测指数引导下术中血流动力学护理对老年患者术后低血压的发生和术后康复的影响。方法选取2023年10月—2024年4月在广东医科大学附属医院接受治疗的88例全麻下非心脏手术老年患者,采用随机数字表法将其分成A组和B组,各44例。A组实施低血压预测指数引导的血流动力学护理,B组实施常规血流动力学护理。比较两组低血压发生率、患者术中情况、术后低血压持续情况及术后康复评分。结果A组患者术后低血压发生率低于B组(P<0.05)。两组术中情况比较,差异无统计学意义(P>0.05);A组术后1 h低血压持续时间短于B组,差异有统计学意义(P<0.05)。两组术后复苏至拔管时间比较差异无统计学意义(P>0.05);两组恶心、呕吐、心动过缓、低体温术后并发症发生率比较,差异无统计学意义(P>0.05)。术后1d,A组15项恢复质量量表(QoR-15)评分高于B组,差异有统计学意义(P<0.05);术后3 d,两组QoR-15评分均高于术后1d,两组差异无统计学意义(P>0.05)。结论术中HPI引导的血流动力学护理有利于降低术后短时间内老年患者低血压的发生,并缩短患者术后低血压持续时间,加快术后康复进程。Objective To explore the effect of intraoperative hemodynamic nursing guided by hypotension prediction index on the occurrence of postoperative hypotension and postoperative rehabilitation in elderly patients.Methods A total of 88 elderly patients undergoing non-cardiac surgery under general anesthesia in the Affiliated Hospital of Guangdong Medical University from October 2023 to April 2024 were selected.They were divided into group A and group B by random number table method,with 44 cases in each group.Group A was given hemodynamic nursing guided by hypotension prediction index,and group B was given routine hemodynamic nursing.The incidence of postoperative hypotension,intraoperative conditions,postoperative hypotension duration and postoperative rehabilitation scores were compared between the two groups.Results The incidence of postoperative hypotension in group A was lower than that in group B(P<0.05).There was no significant difference in intraoperative conditions between the two groups(P>0.05).The duration of hypotension at 1 h after operation in group A was shorter than that in group B,and the difference was statistically significant(P<0.05).There was no significant difference in the time from postoperative recovery to extubation between the two groups(P>0.05).There was no significant difference in the incidence of postoperative complications of nausea,vomiting,bradycardia and hypothermia between the two groups(P>0.05).One day after operation,the Quality of Recovery-15(QoR-15)score of group A was higher than that of group B,and the difference was statistically significant(P<0.05);at 3 days after operation,the QoR-15 scores of the two groups were higher than those at 1 day after operation,and there was no significant difference between the two groups(P>0.05).Conclusions Intraoperative HPI-guided hemodynamic nursing is beneficial to reduce the occurrence of hypotension in elderly patients in a short time after operation,shorten the duration of postoperative hypotension,and accelerate the postoperative rehabi

关 键 词：低血压预测指数引导 血压动力学 护理 老年患者 术后低血压 持续时间 

分 类 号：R473[医药卫生—护理学]