摘要
围手术期未得到控制的高血压可能影响患者手术中血流动力学稳定性,进而影响患者预后,增加其他并发症出现和死亡的风险。对于接受手术的高血压患者,都需要权衡利弊选择合适的降压药物来降低围手术期不良事件的发生率。目前我国对围手术期血压的管理尚无统一定论,该文从非心脏手术、心脏手术、妊娠、嗜铬细胞瘤4个手术类型系统梳理围手术期血压的控制目标与药物使用方案,为高血压患者的围手术期管理提供参考。
Uncontrolled hypertension in the perioperative period may affect the hemodynamic stability of patients during surgery and thus affect the prognosis of patients.This increases the risk of other complications and death.For hypertensive patients undergoing surgery,it is necessary to weigh the pros and cons,and choose appropriate antihypertensive drugs to reduce the incidence of perioperative adverse events.There is no unified conclusion on perioperative blood pressure management in China.This paper systematically reviewed the perioperative blood pressure control objectives and drug use programs,including non-cardiac surgery,cardiac surgery,pregnancy,and pheochromocytoma.It provided a reference for the perioperative management of hypertensive patients.
作者
成硕
谢菡
邵腾飞
周思敏
葛卫红
CHENG Shuo;XIE Han;SHAO Tengfei;ZHOU Simin;GE Weihong(Department of Pharmacy,China Pharmaceutical University Nanjing Drum Tower Hospital,Nanjing 210008,China;Department of Pharmacy,Nanjing Drum Tower Hospital,the Affiliated Hospital of Medical School of Nanjing University,Nanjing 210008,China)
出处
《医药导报》
CAS
北大核心
2024年第9期1444-1450,共7页
Herald of Medicine
关键词
围手术期
血压管理
抗高血压药物
围手术期用药
Perioperative
Blood pressure management
Antihypertensive drugs
Perioperative medication
