高血压患者脊柱手术俯卧位后发生低血压的研究进展

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Abstract In the current clinical anaesthesia work,the incidence of hypertensive disease has significantly increased in patients with general anesthesia underwent prostrate spine surgery.The inferior vena cava is reduced because of the abdominal and thoracic compression in the prone position,and the ventricular compliance is decreased which resulted in the decline of the SV that leading to the hypotension.Antihypertensive drugs which taken by the chronic hypertensive patients cause the autonomic nervous function inhibition and blood pressure regulation impaired,and the sympathetic inhibition and vascular dilatation of general anesthesia further aggravate the hypotension.Hypotension can reduce the blood flow and perfusion of important organs,cause related complications,prolong hospital lengths of stay and even increase mortality.Hypertensive patients are more likely to be organ damaged,and are less resistant to the occurrence of hypotension.When hypotension occurs,it can be corrected by using intravenous infusion and vasoactive agents,or decreasing the level of anesthesia.The application of goal-directed fluid therapy and α1adrenergic receptor agonist ensure the stability of hemodynamic during surgery and make the patient recover quickly.In this paper,the causes of hypotension occurred in patients with hypertensive during spine surgery are reviewed,as well as the effects on organism and how to prevent and treatment.

Key words： Hypertension ACEI/ARBs drugs Prone position Hypotension Isolated &alpha 1adrenergic receptor agonist')" href="#">1adrenergic receptor agonist

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	WANG Lin
	CHEN Li

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WANG Lin,CHEN Li. Research progress of hypotension after prone position in patients w ith hypertension during spinal surgery[J]. 中国当代医药, 2018, 25(17): 24-28.

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http://dangdaiyiyao.com/EN/ OR http://dangdaiyiyao.com/EN/Y2018/V25/I17/24

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