Objective To study the causes of hypertension in solid tumors during surgery, and to explore the nursing methods of irreversible electroporation ablation therapy. Method choice in our hospital of malignant tumor patie...Objective To study the causes of hypertension in solid tumors during surgery, and to explore the nursing methods of irreversible electroporation ablation therapy. Method choice in our hospital of malignant tumor patients included in the study, these people are implemented irreversible electroporation ablation treatment, time is 2015.7 to 2021.6, a total of 30 cases, for these people before treatment and treatment after the relevant index data comparison, mainly including blood pressure level data and catecholamine levels. Results: After the implementation of the electric shock, the blood pressure of these people in the observation group increased rapidly, and 10 people had intraoperative hypertension, accounting for 66.7%. This ratio was compared to the other group (P <0.05). After receiving antihypertensive treatment (the treatment regimen was nicardipine and phenentolamine), the people with hypertension were relieved and their blood pressure became low, and the postoperative blood pressure in the two groups was not statistically significant, (P> 0.05). Second, after the end of the electric shock work, through the analysis of the immediate test results, finally found that in this group, with preoperative data, the peripheral blood adrenaline, dopamine levels are very different, the difference has statistical significance (P <0.05), and before and after treatment data show that in norepinephrine levels have no statistical significance (P> 0.05). Conclusion: patients in the irreversible electroporation ablation, intraoperative hypertension is likely to occur due to various factors, so we must pay attention to the intraoperative continuous monitoring of these patients, but also through the scientific care plan for treatment, in this way can well control the risk of hypertension encephalopathy, promote its physical recovery.展开更多
文摘Objective To study the causes of hypertension in solid tumors during surgery, and to explore the nursing methods of irreversible electroporation ablation therapy. Method choice in our hospital of malignant tumor patients included in the study, these people are implemented irreversible electroporation ablation treatment, time is 2015.7 to 2021.6, a total of 30 cases, for these people before treatment and treatment after the relevant index data comparison, mainly including blood pressure level data and catecholamine levels. Results: After the implementation of the electric shock, the blood pressure of these people in the observation group increased rapidly, and 10 people had intraoperative hypertension, accounting for 66.7%. This ratio was compared to the other group (P <0.05). After receiving antihypertensive treatment (the treatment regimen was nicardipine and phenentolamine), the people with hypertension were relieved and their blood pressure became low, and the postoperative blood pressure in the two groups was not statistically significant, (P> 0.05). Second, after the end of the electric shock work, through the analysis of the immediate test results, finally found that in this group, with preoperative data, the peripheral blood adrenaline, dopamine levels are very different, the difference has statistical significance (P <0.05), and before and after treatment data show that in norepinephrine levels have no statistical significance (P> 0.05). Conclusion: patients in the irreversible electroporation ablation, intraoperative hypertension is likely to occur due to various factors, so we must pay attention to the intraoperative continuous monitoring of these patients, but also through the scientific care plan for treatment, in this way can well control the risk of hypertension encephalopathy, promote its physical recovery.
