心脏手术围术期血压变异度的研究进展  

Research progress on perioperative blood pressure variation in cardiac surgery

作　　者：李维娜 周荣华[1] Li Weina;Zhou Ronghua(Department of Anesthesiology,West China Hospital of Sichuan University,Sichuan Chengdu 610041,China)

机构地区：[1]四川大学华西医院麻醉科,成都610041

出　　处：《中国体外循环杂志》2025年第2期186-191,共6页Chinese Journal of Extracorporeal Circulation

摘　　要：血压变异度(BPV)是描述患者在某一时间范围内个体血压测量值波动情况的连续变量,它反映了血压的动态变化,BPV被证明与心血管疾病及术后结局有关。近年来,有关心脏手术围术期BPV对临床预后的研究越来越多,本文通过回顾近年相关临床研究,介绍了BPV的基本概念、常用表达形式,综述BPV在心脏手术中的应用现状及其与心脏术后不良结局之间的关联,分析现有研究中关于围术期血压管理策略对BPV的调控效果,并对未来研究方向进行展望,旨在为优化心脏手术的围术期管理和改善患者预后提供参考。Blood pressure variability(BPV)is a continuous variability that quantifies the fluctuation in individual blood pressure measurements over a defined period,reflecting dynamic changes in blood pressure.BPV has also been shown to correlate with cardiovascular diseases and postoperative outcomes.In recent years,increasing attention has been paid to the role of BPV during the perioperative period of cardiac surgery.This reviews discusses the fundamental concepts of BPV,its commonly used metrics,and the current application of BPV in cardiac surgery,particularly its relationship with adverse postoperative outcomes.Additionally,the review examines the effects of various perioperative blood pressure management strategies on BPV regulation and provides an outlook on future research directions.The goal is to offer insights for optimizing perioperative management in cardiac surgery and improve patient outcomes.

关 键 词：血压变异度 围术期 心脏手术 预后 

分 类 号：R654.2[医药卫生—外科学]