论文部分内容阅读
目的探讨单侧肾切除术对患者术后血压的影响。方法对2009年6月至2014年6月在我科行单侧肾切除术的患者进行随访,比较术后与术前的血压并进行分析。结果随访了110名患者,随访时间2~7年,术后血压与术前血压比较,收缩压较术前下降(P<0.05),舒张压无明显变化。按术前有无高血压分组分析,高血压组术后收缩压下降明显,非高血压组下降不明显,两组舒张压无明显变化。对影响血压下降的因素进行Logistic分析,发现术前收缩压水平是影响术后收缩压下降幅度的独立危险因素(OR=1.248,P=0.003)。结论单侧肾切除术会导致术前有高血压的患者收缩压下降,术前收缩压越高,术后下降越明显,对舒张压无明显影响,对术前血压正常的患者的血压无明显影响。
Objective To investigate the effect of unilateral nephrectomy on postoperative blood pressure. Methods The patients with unilateral nephrectomy in our department from June 2009 to June 2014 were followed up and the postoperative and preoperative blood pressure was compared and analyzed. Results The follow-up of 110 patients was followed up for 2 to 7 years. Compared with the preoperative blood pressure, systolic blood pressure decreased significantly (P <0.05) and diastolic blood pressure did not change significantly. According to whether there was preoperative hypertension or not, the systolic blood pressure decreased obviously in the hypertensive group, but not in the non-hypertensive group. The diastolic blood pressure did not change obviously in both groups. Logistic analysis showed that preoperative systolic blood pressure was an independent risk factor for the decrease of postoperative systolic blood pressure (OR = 1.248, P = 0.003). Conclusions Unilateral nephrectomy results in a decrease of systolic blood pressure in patients with preoperative hypertension. The preoperative systolic pressure is higher, the more obvious postoperative decline is, and no significant effect on diastolic pressure. The blood pressure of preoperative normotensive patients is not significant influences.