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- W2356286265 abstract "Objective To evaluate the effects of different preconditioning regimens on postural hypotension in elderly patients undergoing transurethral resection of the prostate(TURP).Methods Ninety elderly patients scheduled for TURP were randomly divided into three groups: elastic bandage group,metaraminol group and control group,with 30 patients in each group.All patients received combined spinal-epidural analgesia.After operation,one of both lower limbs was slowly returned to the horizontal position,and the other was returned to the horizontal position after 1 minute.In elastic bandage group,medical elastic bandage was applied from the lateral malleolus to the upper part of the thigh and patients were placed in the lithotomy position during surgery.Elastic bandage was removed 5 minutes after both lower limbs were returned to the horizontal position.In metaraminol group,0.3 mg metaraminol was intravenously injected 1 minute before one of both lower limbs was returned to the horizontal position.Patients in control group received no pretreatment.The systolic blood pressure(SBP),mean arterial pressure(MAP)and heart rate were recorded before(T1)and 0(T2),5(T3)and 10 minutes(T4)after patients were placed in the supine position.Results There were no significant differences in SBP and MAP among different time points in elastic bandage group and metaraminol group(P0.05).Compared with T1,SBP and MAP in control group and heart rate in metaraminol group significantly decreased,but heart rate in elastic bandage group and control group obviously increased at T2,T3 and T4(all P0.05).Conclusion Intravenous injection of 0.3 mg metaraminol before body position change can stabilize blood pressure in elderly patients undergoing TUPR.Therefore,metaraminol pretreatment is valuable in the prevention and treatment of postural hypotension." @default.
- W2356286265 created "2016-06-24" @default.
- W2356286265 creator A5018201057 @default.
- W2356286265 date "2013-01-01" @default.
- W2356286265 modified "2023-09-25" @default.
- W2356286265 title "Effects of Different Preconditioning Regimens on Postural Hypotension in Elderly Patients Undergoing Transurethral Resection of the Prostate" @default.
- W2356286265 hasPublicationYear "2013" @default.
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