食管外科电子杂志
食管外科電子雜誌
식관외과전자잡지
Journal of Esophageal Surgery
2014年
1期
4-7
,共4页
高血压%心脑血管并发症%动态血压监测
高血壓%心腦血管併髮癥%動態血壓鑑測
고혈압%심뇌혈관병발증%동태혈압감측
Hypertension%Cardiovascular complication%Ambulatory blood pressure monitoring
目的：探讨24小时动态血压监测在食管癌和贲门癌围手术期患者的临床意义。方法回顾性分析自2013年9月至2013年12月本院收治的54例行食管癌和贲门癌手术的患者，依据其既往是否存在高血压及入院血压值，分为高血压组和血压正常组，记录并分析所有患者术后3天24小时动态血压变化及所有患者术后心脑血管并发症。结果统计结果显示两组患者夜间血压下降均＜10%，均不符合杓型变化。但是从曲线图的变化可以看出血压正常组夜间血压出现一低谷，而高血压组并未出现，甚至出现相反方向的变化。出现心脑血管并发症患者的术后血压并未见明显升高但血压昼夜节律消失。结论无论高血压组或血压正常组，在血压昼夜节律消失的患者中心脑血管发生率增加。24小时动态血压监测有助于早期警惕心脑血管意外的发生，对临床应用有重要意义。
目的：探討24小時動態血壓鑑測在食管癌和賁門癌圍手術期患者的臨床意義。方法迴顧性分析自2013年9月至2013年12月本院收治的54例行食管癌和賁門癌手術的患者，依據其既往是否存在高血壓及入院血壓值，分為高血壓組和血壓正常組，記錄併分析所有患者術後3天24小時動態血壓變化及所有患者術後心腦血管併髮癥。結果統計結果顯示兩組患者夜間血壓下降均＜10%，均不符閤杓型變化。但是從麯線圖的變化可以看齣血壓正常組夜間血壓齣現一低穀，而高血壓組併未齣現，甚至齣現相反方嚮的變化。齣現心腦血管併髮癥患者的術後血壓併未見明顯升高但血壓晝夜節律消失。結論無論高血壓組或血壓正常組，在血壓晝夜節律消失的患者中心腦血管髮生率增加。24小時動態血壓鑑測有助于早期警惕心腦血管意外的髮生，對臨床應用有重要意義。
목적：탐토24소시동태혈압감측재식관암화분문암위수술기환자적림상의의。방법회고성분석자2013년9월지2013년12월본원수치적54례행식관암화분문암수술적환자，의거기기왕시부존재고혈압급입원혈압치，분위고혈압조화혈압정상조，기록병분석소유환자술후3천24소시동태혈압변화급소유환자술후심뇌혈관병발증。결과통계결과현시량조환자야간혈압하강균＜10%，균불부합표형변화。단시종곡선도적변화가이간출혈압정상조야간혈압출현일저곡，이고혈압조병미출현，심지출현상반방향적변화。출현심뇌혈관병발증환자적술후혈압병미견명현승고단혈압주야절률소실。결론무론고혈압조혹혈압정상조，재혈압주야절률소실적환자중심뇌혈관발생솔증가。24소시동태혈압감측유조우조기경척심뇌혈관의외적발생，대림상응용유중요의의。
Objective The aim of this study was to investigate the significance of 24 h ambulatory blood pressure monitoring(ABPM) in perioperative patients of esophageal and cardiac carcinoma. Methods Fifty-four patients from 9/2013 to 12/2013 were included in the retrospective analysis. Patients were divided into two groups:hypertension patients as group 1 (n=21) and group 2 was normal blood pressure patients(n=33). They all were be treated with the surgery of esophageal and cardiac carcinoma and then to record and analyze 24 h ambulatory blood pressure changes in 72 h postoperated and postoperative cardiovascular complications. Results The re-sults showed that there were no significant differences between hypertension patients group and normal blood pressure patients group because the nighttime blood pressure drop of the 2 groups was<10%(nondippers) in two groups. It could be seen of the changes of nocturnal blood pressure in a trough in blood pressure normal group from the graph followed , though it was absent in hypertension group, even changed to the opposite direction. Postopera-tive cardiovascular complication was related with ambulatory blood pressure changes. Conclusion These results suggest that cardiovascular complication increased in nondippers patients, and 24 h ambulatory blood pressure monitoring has great clinical significance and it is helpful to early alert heart cerebrovascular accident.
