Management of preoperative hypertension and anxiety based on early monitoring of pulse rate before cataract surgery.

IF 2.1 3区医学 Q2 OPHTHALMOLOGY

Japanese Journal of Ophthalmology Pub Date : 2024-09-28 DOI:10.1007/s10384-024-01124-9

Takashi Ono, Takuya Iwasaki, Rie Tomari, Toshihiro Sakisaka, Yosai Mori, Ryohei Nejima, Kazunori Miyata

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引用次数: 0

Abstract

Purpose: Few studies have addressed the clinical impact of fluctuation in pulse rate before cataract surgery. This study aimed to determine the effectiveness of prior pulse monitoring and intervention to prevent blood pressure changes in patients undergoing cataract surgery under local anesthesia.

Study design: Retrospective study METHODS: Patients who underwent cataract surgery under local anesthesia were included. In the pulse rate (PR) group, intervention was performed on the basis of early monitoring of blood pressure and PR changes. In the conventional group, blood pressure was managed on the basis of blood pressure alone. Systolic blood pressure, diastolic blood pressure, intraoperative nicardipine use, and physician consultation time were retrospectively compared between the groups.

Results: The study included 684 eyes from 684 patients aged 73.5 ± 9.5 years (PR group: 297 eyes, conventional group: 387 eyes). No intergroup differences were found in systolic blood pressure or pulse and heart rates; however, diastolic blood pressure was significantly lower in the PR group than in the conventional group at both the beginning and the end of surgery (P <.001 and P = .0028, respectively). Intravenous nicardipine administration in the operating room was significantly less frequent in the PR group (P = .041), and physician consultation time after entering the operating room and at the beginning of surgery was significantly shorter in the PR group (both P <.001).

Conclusion: Early monitoring of PR with blood pressure and intervention were effective for preventing preoperative hypertension.

查看原文本刊更多论文

基于白内障手术前早期脉搏监测的术前高血压和焦虑症管理。

研究目的很少有研究探讨白内障手术前脉搏波动对临床的影响。本研究旨在确定在局部麻醉下接受白内障手术的患者事先进行脉搏监测和干预以预防血压变化的效果：方法：纳入在局部麻醉下接受白内障手术的患者。在脉搏率（PR）组中，根据早期监测血压和脉搏率变化进行干预。在常规组中，仅根据血压进行管理。对各组的收缩压、舒张压、术中尼卡地平的使用情况和医生会诊时间进行了回顾性比较：研究包括 684 名患者的 684 只眼睛，年龄为 73.5 ± 9.5 岁（PR 组：297 只眼睛，常规组：387 只眼睛）。在收缩压、脉搏和心率方面未发现组间差异；但在手术开始和结束时，PR 组的舒张压均显著低于常规组（P早期监测 PR 血压并进行干预可有效预防术前高血压。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Japanese Journal of Ophthalmology 医学-眼科学

CiteScore

4.80

自引率

8.30%

发文量

审稿时长

6-12 weeks

期刊介绍： The Japanese Journal of Ophthalmology (JJO) was inaugurated in 1957 as a quarterly journal published in English by the Ophthalmology Department of the University of Tokyo, with the aim of disseminating the achievements of Japanese ophthalmologists worldwide. JJO remains the only Japanese ophthalmology journal published in English. In 1997, the Japanese Ophthalmological Society assumed the responsibility for publishing the Japanese Journal of Ophthalmology as its official English-language publication. Currently the journal is published bimonthly and accepts papers from authors worldwide. JJO has become an international interdisciplinary forum for the publication of basic science and clinical research papers.