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围手术期低血压对骨科手术长期恢复的影响:一项综述。

Effect of perioperative hypotension on long-term orthopaedic surgery recovery: A review.

作者信息

Sneha Kumari, Mandal Srirupa, Saha Kalyan Kumar, Sahoo Samrat Smrutiranjan, Kumar Vinod, Kumar Mukesh, Kumar Sommya

机构信息

Department of Anaesthesia, AIIMS, Kalyani, West Bengal, India.

Department of Cardiology, AIIMS, Kalyani, West Bengal, India.

出版信息

Bioinformation. 2025 Apr 30;21(4):768-773. doi: 10.6026/973206300210768. eCollection 2025.

Abstract

The occurrence of perioperative hypotension is common among orthopedic surgical patients and it results in negative long-term outcomes. Therefore, it is of interest to review the effect of perioperative hypotension on long-term orthopaedic surgery recovery. The condition showed increased danger among patients experiencing delirium along with cardiovascular problems. The main factors that resulted in perioperative hypotension consisted of hypertension alongside heart diseases combined with blood loss and the use of beta-blockers and extended surgical durations. Early detection along with proper management requires immediate attention because of their crucial importance. The optimization of blood pressure during surgical periods leads to better patient security together with enhanced functional outcomes. The execution of orthopedic procedures needs to focus on maintaining stable blood pressure levels according to clinical guidelines.

摘要

围手术期低血压在骨科手术患者中很常见,并且会导致不良的长期后果。因此,回顾围手术期低血压对骨科手术长期恢复的影响很有意义。该病症在伴有谵妄和心血管问题的患者中显示出更高的危险性。导致围手术期低血压的主要因素包括高血压、心脏病、失血、使用β受体阻滞剂以及手术时间延长。由于早期检测和适当管理至关重要,因此需要立即予以关注。手术期间血压的优化可提高患者安全性并改善功能结局。骨科手术的实施需要根据临床指南专注于维持稳定的血压水平。

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