CAJ | 학술논문

目的：探讨时间治疗学在高血压患者围手术期的应用效果。方法选取2009年1月-2013年1月合并高血压的骨科择期手术患者200例，按随机数字表法分为研究组和对照组，每组各100例。手术前对照组予常规抗高血压治疗方法控制血压，研究组采用时间治疗学控制血压，比较两组患者术中血压控制效果。结果研究组患者手术时收缩压、舒张压、心率分别为（130±9） mmHg，（70±6）mmHg，（80±5）次／min，与对照组比较差异均有统计学意义（t值分别为6．73，4．21，2．19；P＜0．05）；血压控制情况研究组优于对照组，差异有统计学意义（Z＝2．31，P＜0．05）。结论运用时间治疗学对高血压患者血压调控效果良好，降低了不良事件的发生率，值得临床推广。
목적：탐토시간치료학재고혈압환자위수술기적응용효과。방법선취2009년1월-2013년1월합병고혈압적골과택기수술환자200례，안수궤수자표법분위연구조화대조조，매조각100례。수술전대조조여상규항고혈압치료방법공제혈압，연구조채용시간치료학공제혈압，비교량조환자술중혈압공제효과。결과연구조환자수술시수축압、서장압、심솔분별위（130±9） mmHg，（70±6）mmHg，（80±5）차／min，여대조조비교차이균유통계학의의（t치분별위6．73，4．21，2．19；P＜0．05）；혈압공제정황연구조우우대조조，차이유통계학의의（Z＝2．31，P＜0．05）。결론운용시간치료학대고혈압환자혈압조공효과량호，강저료불량사건적발생솔，치득림상추엄。
Objective To discuss the curative effect of chronotherapy on hyperpietic during perioperative period .Methods 200 hyperpietics from January 2009 to January 2013 were randomly divided into the study group and the control group , each with 100 cases.The control group was given conventional anti-hypertension treatment to control blood pressure before surgery , while the study group adopted chronotherapy . Effect of blood pressure control was compared between two groups .Results The systolic pressure , diastolic pressure and heart rate were respectively (130 ±9)mmHg,(70 ±6)mmHg,(80 ±5)times/min during surgery in the study group, significantly different from those in the control group ( t=6.73,4.21,2.19, respectively;P<0.05).Blood pressure control case,the study group was better than the control group ,with statistically significant difference (Z=2.31,P<0.05).Conclusions Chronotherapy is effective for hyperpietic to control blood pressure and can reduce incidence of adverse events , which is worthy clinical promotion .