Objective To analyze the risk factors for perioperative hypertension in patients with emergency trauma and put forward suggestions for management.
Methods The clinical data of 168 patients with emergency trauma from March 2020 to December 2021 were analyzed retrospectively, and the incidence of perioperative hypertension was recorded. According to the occurrence of perioperative hypertension, the patients were divided into a hypertension group and a non-hypertension group. The general data of the two groups were compared. A multivariate logistic regression model was used to analyze the risk factors for perioperative hypertension in patients with emergency trauma.
Results Among 168 patients with emergency trauma, 47 developed perioperative hypertension with an incidence of 27.98%. The results of the logistic regression analysis showed that, compared with the patients aged less than 45 years, with an ISS score less than 16, or without a history of diabetes, the perioperative risk of hypertension in patients aged more than or equal to 45 years, with an ISS score more than or equal to 16, or with a history of diabetes, increased by 2.217, 2.416, and 1.984 times, respectively. The risk of hypertension increased by 1.200 times when CRP increased by 1.0 mg/L. The effective rate of antihypertensive therapy for patients with postoperative hypertension was 82.98%. There was no significant difference in hospitalization time between the two groups (P>0.05). The incidences of abnormal renal function and heart failure in the hypertension group were 8.51% and 12.77%, respectively, which were higher than 0.83% and 4.13% in the non-hypertension group, and the difference was statistically significant (P<0.05).
Conclusions In order to reduce the treatment risk of acute trauma patients with advanced age, a history of diabetes, and a high level of CRP, we should strengthen blood pressure monitoring, pay attention to the changes in related indexes of renal function and cardiac function, and carry out targeted management.