国际麻醉学与复苏杂志   2021, Issue (2): 0-0
    
围手术期血压与非心脏手术后心肌损伤的研究进展
苏振宇, 李锐1()
1.安徽医科大学第二附属医院麻醉科
A review of research advances of perioperative blood pressure and myocardial injury after non‑cardiac surgery
 全文:
摘要:

非心脏手术后心肌损伤(myocardial injury after non‑cardiac surgery, MINS)作为一种心血管系统的严重并发症,是非心脏手术患者术后可归因死亡的重要原因。近来的研究发现MINS与围手术期血压显著相关,合理的围手术期血压管理策略可能减少MINS的发生。文章重点介绍了MINS的研究新进展与围手术期血压的特点,阐述了围手术期血压调控对减少MINS的潜在益处,为围手术期血压管理和MINS的预防提供新的依据。围手术期个体化血压管理策略可能成为预防MINS的新方向。

关键词: 非心脏手术; 围手术期; 血压; 心肌损伤
Abstract:

Myocardial injury after non‑cardiac surgery (MINS), as a serious complication of the cardiovascular system, is an important cause of postoperative attributable death in patients with non‑cardiac surgery. Recent studies have found that perioperative blood pressure are significantly associated with MINS and perioperative blood pressure management strategies may reduce the incidence of MINS. This review focuses on the recent research advances of MINS and features of perioperative blood pressure, describes the relationship between perioperative blood pressure and MINS, elaborates potential benefits of perioperative blood pressure regulation for reducing MINS and provides a novel basis for perioperative blood pressure management and prevention of MINS. Perioperative individualized blood pressure management strategy may become a new direction to prevent MINS.

Key words: Non‑cardiac surgery; Perioperative period; Blood pressure; Myocardial injury