Influencing factors and nursing care of blood pressure increase during percutaneous kyphoplasty
经皮椎体后凸成形术术中血压增高影响因素及护理

摘要

经皮椎体后凸成形术术中保持血压平稳，对减少手术并发症，保障手术顺利进行非常重要。本文报告对2022年1月-2023年3月收治的162例经皮椎体后凸成形术治疗患者为研究对象。对存在术中血压增高的影响因素进行分析及采取相应的护理对策。重点分析原因有疼痛、心理紧张恐惧、体位改变、噪音因素、骨水泥特殊气味刺激引起恶心呕吐等等，严密做好术中血压监测、生命体征监测、口服降压药的护理和加强心理护理。结果162例患者顺利完成手术，其中61例于摆手术俯卧体位后和术中血压均出现增高，通过采取相应的护理措施，所有患者血压均降至正常范围内。除个别患者疼痛未缓解外，无1例并发症发生。

Abstract

Maintaining stable blood pressure during percutaneous kyphoplasty is very important to reduce surgical complications and ensure smooth operation. A total of 162 patients treated with percutaneous kyphoplasty from January 2022 to March 2023 were studied. To analyze the influencing factors of increasing intraoperative blood pressure and take corresponding nursing countermeasures. The main reasons were pain, psychological tension and fear, position change, noise factor, nausea and vomiting caused by special odor stimulation of bone cement, etc. Strict monitoring of intraoperative blood pressure, vital signs monitoring, nursing of oral antihypertensive drugs and strengthening psychological nursing.
Results 162 patients successfully completed the operation, of which 61 patients showed increased blood pressure after and during the operation. All patients' blood pressure was reduced to normal range by taking appropriate nursing measures. No complications occurred except for some patients whose pain was not relieved.