黄斑前膜手術中における血圧変動の検討—日帰り手術と入院手術の比較

Systemic blood pressure during surgery for epiretinal membrane. Comparison of surgery with and without hospitalization

要約　目的：黄斑前膜手術症例の手術施行に伴う血圧の変動を日帰り手術症例と入院手術症例で比較した。

方法：2014年1月1日〜12月31日に当院で施行した初回黄斑前膜手術94例（日帰り群54例，入院群40例，平均年齢70.8歳）を対象とし，周術期の血圧をretrospectiveに比較検討した。

結果：日帰り群，入院群とも術前と比較し入室時および術中最高血圧とも有意に血圧が上昇していた。高血圧症ありの症例では，日帰り群と比較し入院群では入室時で9.2mmHg，術中最高血圧で15.6mmHg血圧が上昇していた。

結論：黄斑前膜手術時には，全身疾患の有無にかかわらず，適切な血圧管理が必要である。

Abstract　Purpose: To report changes in systemic blood pressure during surgery for epiretinal membrane in patients with and without hospitalization.

Cases and Method: This retrospective study was made on 94 patients who received surgery for epiretinal membrane during a one-year period. The series comprised 37 males and 57 females. The age averaged 71 years. Surgery was performed in 40 cases with hospitalization and in 54 cases without hospitalization. Systemic blood pressure was monitored before and during surgery.

Results: Systemic blood pressure was elevated just before and during surgery as compared with baseline. Patients with systemic hypertension showed higher values of systemic blood pressure by 9.2 mmHg just before and by 15.6mmHg during surgery than those without systemic hypertension.

Conclusion: Systemic blood pressure was often elevated just before and during surgery for epiretinal membrane. We advocate due monitoring of blood pressure in patients undergoing surgery.