CAJ | 학술논문

目的：通过对眼科手术患者围手术前期及手术中血压变化的观察，了解眼科手术中血压变化的情况，并探讨眼科围手术前期血压应控制的安全范围。方法随机选取2013年05~08月我院住院手术患者共333例，分为高血压合并糖尿病组、高血压不合并糖尿病组及无高血压病组共三组患者，对其围手术期术前、手术中血压进行比较。并用 t检验作统计学分析。结果三组患者收缩压与舒张压在手术中较手术前均显著升高，且收缩压的升高明显高于舒张压。无高血压组手术中舒张压升高较明显；升高的最大值为收缩压61~63mmHg，舒张压32~48mmHg，部分患者(10.25%~18.87%)术中血压低于手术前。高血压是否合并糖尿病对于术中血压升高程度影响无统计学意义。结论眼科手术使患者收缩压与舒张压都有显著升高，而对于收缩压的影响明显高于舒张压。根据升高的最大均值，结合文献资料得出：高血压患者的眼科围手术前期血压定在160/90mmHg较为安全适宜。
목적：통과대안과수술환자위수술전기급수술중혈압변화적관찰，료해안과수술중혈압변화적정황，병탐토안과위수술전기혈압응공제적안전범위。방법수궤선취2013년05~08월아원주원수술환자공333례，분위고혈압합병당뇨병조、고혈압불합병당뇨병조급무고혈압병조공삼조환자，대기위수술기술전、수술중혈압진행비교。병용 t검험작통계학분석。결과삼조환자수축압여서장압재수술중교수술전균현저승고，차수축압적승고명현고우서장압。무고혈압조수술중서장압승고교명현；승고적최대치위수축압61~63mmHg，서장압32~48mmHg，부분환자(10.25%~18.87%)술중혈압저우수술전。고혈압시부합병당뇨병대우술중혈압승고정도영향무통계학의의。결론안과수술사환자수축압여서장압도유현저승고，이대우수축압적영향명현고우서장압。근거승고적최대균치，결합문헌자료득출：고혈압환자적안과위수술전기혈압정재160/90mmHg교위안전괄의。
Objective By observing the eye surgery patients blood pressure changes in the preoperative and perioperative operation, to understand the blood pressure change rules in eye surgery, to explore the safe ranges of the blood pressure in the preoperative operation. Methods We selected 333 surgery patients randomly from May to August in 2013, these patients were divided into three groups,The first with hypertension and diabetes mel itus, The second only with hypertension, and the third without hypertension nor diabetes.We compared the blood pressure changes in the preoperative and perioperative operation, the T test for statistical analysis. Results The systolic blood pressure and diastolic blood pressure of three groups in the perioperative operation increased significantly than in the preoperative operation, and systolic blood pressure increased significantly higher than diastolic blood pressure. The diastolic blood pressure of no hypertension group increased obviously in the perioperative operation,the maximum number of systolic blood pressure is 61~63mmHg, the maximum number of the diastolic blood pressure is 32~48 mmHg. Some patients(10.25%~18.87%), their blood pressure in the perioperative operation is lower than in the preoperative operation . There are no statistical significance of intraoperative blood pressure levels for the hypertensive patients with diabetes mel itus. Conclusion Eye surgery made the patients systolic blood pressure and diastolic blood pressure increased significantly, and the influence of systolic blood pressure was obviously higher than that of the diastolic blood pressure. According to the maximum average number, combined with the literature data: control the blood pressure of hypertension patients in the preoperative operation at 160/90mmHg is safty and suitable .