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影响高血压患者小切口非超声乳化手术的相关因素研究
引用本文:李亦芳,冯建辉.影响高血压患者小切口非超声乳化手术的相关因素研究[J].国际眼科杂志,2009,9(5):874-876.
作者姓名:李亦芳  冯建辉
作者单位:中国山东省利津县中心医院眼科,257400
摘    要:目的:通过对正常血压和合并高血压的两组老年性白内障患者行小切口非超声乳化手术中血压及心率变化的分析,了解该手术对高血压患者白内障因素。方法:对伴有高血压的老年性白内障患者66例和正常血压白内障患者66例在心电监护仪监测下进行小切口非超声乳化手术,观察术前及术中不同时间血压及心率的变化。结果:两组患者在进入手术室后血压与病区血压比较均有所不同,高血压组在手术开始和术中10min血压及心率的变化呈现明显升高然后回落的变化。结论:手术相关刺激引起的应激反应在高血压组可以出现神经性血压升高,高血压患者手术中实施心电监护是十分必要的,术前进行耐心细致地解释和安慰工作是十分关键的。

关 键 词:白内障  手术  血压  心率  因素

Related factors influencing the effect of small incision non-phacoemulsification cataract surgery for the patients with hypertension
Yi-Fang Li,Jian-Hui Feng.Related factors influencing the effect of small incision non-phacoemulsification cataract surgery for the patients with hypertension[J].International Journal of Ophthalmology,2009,9(5):874-876.
Authors:Yi-Fang Li  Jian-Hui Feng
Institution:Yi-Fang Li,Jian-Hui Feng Department of Ophthalmology,Central Hospital of Lijin County,Lijin 257400,Shandong Province,China
Abstract:AIM:To investigate the related factors influencing the effect of small incision non-phacoemulsification cataract surgery for the patients with hypertension.METHODS: Sixty-six cases of age related cataract patients with hypertension and 66 cases without hypertension were operated the blood pressure and heart rate for all patients were monitored by electrocardiograph. RESULTS: The blood pressure of the two groups patients were different from the operating theatre and the ward, the blood pressure and heart rate of the hypertension group rose first and then dropped down from the time the patients entered the operating theatre and operation began.CONCLUSION: Operation could cause the rise of blood pressure due to the stress, it is necessary to monitor the patients with hypertension during the operation, patient preoperative explanation and consolation are good for the patients. 
Keywords:cataract  operation  blood pressure  heart rate  factor  
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