国际麻醉学与复苏杂志   2019, Issue (9): 0-0
    
非心脏手术术中低血压与术后转归相关性的研究进展
郭苗苗, 顾小萍, 马正良1()
1.南京大学医学院附属鼓楼医院
Research progress on the correlation between intraoperative hypotension and postoperative outcome in noncardiac surgery
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摘要:

术中低血压(intraoperative hypotension, IOH)是全身麻醉常见的并发症,对患者术后恢复可产生严重影响。文章通过综述近年来非心脏手术IOH和术后转归相关性的研究进展,阐述IOH阈值,探讨不同研究中IOH阈值存在差异的可能原因,同时探究IOH对术后不良转归发生的影响,讨论是否可以通过避免IOH来减少术后并发症的发生,从而改善术后转归。最后,通过分析与总结,进一步研究的方向是通过更多的临床试验排除术中其他生命体征变化的影响,明确特定手术类型、特定人群的IOH定义以及探究IOH的发生对术后转归的影响。

关键词: 术中低血压; 术后转归; 非心脏手术
Abstract:

Intraoperative hypotension(IOH), a common complication of general anesthesia, may have a serious impact on postoperative recovery of patients. By reviewing recent research progress of the correlation between IOH and postoperative outcome in noncardiac surgery, this paper expounded the threshold of IOH and explored the possible reasons for differences in IOH thresholds in different researches. Meanwhile, this paper explored the effect of IOH on the occurrence of postoperative adverse outcomes and discussed whether we can reduce the incidence of postoperative complications by avoiding IOH. Finally, by analyzing and summarizing, the direction of further research is to clear the definition of IOH in specific surgical types and populations, and explore the effect of IOH on postoperative outcome after excluding the influence of other abnormal vital signs by more clinical trials.

Key words: Intraoperative hypotension; Postoperative outcome; Noncardiac surgery