Abstract：
BACKGROUND: Hematoma formation after blepharoplasty is serious and potentially vision-threatening, with hypertension being the primary risk factor. The aim of this paper is to assess perioperative blood pressure trends and rates of complication in patients undergoing a strict blood pressure protocol designed to keep perioperative systolic blood pressure below 120 mmHg.
METHODS: A retrospective chart review was performed of 32 patients undergoing face lift with conomitant blepharoplasty from January 2015 to July 2018. For each patient blood pressure readings obtained before, during, and after surgery were reviewed. Two-sample one-tail T-tests were performed, and p values less than 0.05 were considered statistically significant.
RESULTS: The mean systolic blood pressure (SBP) for all patients was highest intraoperatively. Patients with known hypertension had higher mean SBPs than patients without hypertension across all phases of care, with a statistically significant difference in immediate preoperative SBP (p=0.05). Males had a higher average blood pressure immediately postoperatively (p=0.05). A previous diagnosis of hypertension in females was associated with a higher immediate preoperative SBP (p=0.07) as well as age over 65 (p=0.07). The overall rate of complications was 37.5%. No patients experienced hematoma.
CONCLUSIONS: This study demonstrated that keeping blood pressure below 120 mmHg after surgery was an effective method of preventing hematoma after blepharoplasty, even in patients concurrently on anti-coagulative medications. Special attention to blood pressure control should be shown to patients with known risk factors such as a previous diagnosis of hypertension, male sex, or age greater than 65.
METHODS: This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer.com/00266 .
METHODS: A retrospective chart review was performed of 32 patients undergoing face lift with conomitant blepharoplasty from January 2015 to July 2018. For each patient blood pressure readings obtained before, during, and after surgery were reviewed. Two-sample one-tail T-tests were performed, and p values less than 0.05 were considered statistically significant.
RESULTS: The mean systolic blood pressure (SBP) for all patients was highest intraoperatively. Patients with known hypertension had higher mean SBPs than patients without hypertension across all phases of care, with a statistically significant difference in immediate preoperative SBP (p=0.05). Males had a higher average blood pressure immediately postoperatively (p=0.05). A previous diagnosis of hypertension in females was associated with a higher immediate preoperative SBP (p=0.07) as well as age over 65 (p=0.07). The overall rate of complications was 37.5%. No patients experienced hematoma.
CONCLUSIONS: This study demonstrated that keeping blood pressure below 120 mmHg after surgery was an effective method of preventing hematoma after blepharoplasty, even in patients concurrently on anti-coagulative medications. Special attention to blood pressure control should be shown to patients with known risk factors such as a previous diagnosis of hypertension, male sex, or age greater than 65.
METHODS: This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer.com/00266 .
摘要：
背景：眼睑成形术后血肿形成严重且可能威胁视力，高血压是主要的危险因素。本文的目的是评估接受旨在将围手术期收缩压保持在120mmHg以下的严格血压协议的患者的围手术期血压趋势和并发症发生率。
方法：回顾性分析了2015年1月至2018年7月进行面部拉皮合并眼睑成形术的32例患者。对于之前获得的每个患者血压读数，during,并在手术后进行回顾。进行了两个样本的单尾T检验，P值小于0.05被认为具有统计学意义。
结果：所有患者术中平均收缩压（SBP）最高。在所有护理阶段，已知高血压患者的平均SBP均高于无高血压患者，术前即刻SBP差异有统计学意义（p=0.05）。男性术后即刻平均血压较高（p=0.05）。先前诊断为女性高血压与较高的术前SBP（p=0.07）以及65岁以上的年龄（p=0.07）有关。并发症总发生率为37.5%。无患者出现血肿。
结论：这项研究表明，手术后保持血压低于120mmHg是预防眼睑成形术后血肿的有效方法，即使同时服用抗凝药物的患者也是如此。对已知危险因素的患者，如先前诊断为高血压，应特别注意血压控制。男性,或年龄大于65岁。
方法：本期刊要求作者为每篇文章分配一定程度的证据。对于这些循证医学评级的完整描述，请参阅目录或在线作者说明www。springer.com/00266.
方法：回顾性分析了2015年1月至2018年7月进行面部拉皮合并眼睑成形术的32例患者。对于之前获得的每个患者血压读数，during,并在手术后进行回顾。进行了两个样本的单尾T检验，P值小于0.05被认为具有统计学意义。
结果：所有患者术中平均收缩压（SBP）最高。在所有护理阶段，已知高血压患者的平均SBP均高于无高血压患者，术前即刻SBP差异有统计学意义（p=0.05）。男性术后即刻平均血压较高（p=0.05）。先前诊断为女性高血压与较高的术前SBP（p=0.07）以及65岁以上的年龄（p=0.07）有关。并发症总发生率为37.5%。无患者出现血肿。
结论：这项研究表明，手术后保持血压低于120mmHg是预防眼睑成形术后血肿的有效方法，即使同时服用抗凝药物的患者也是如此。对已知危险因素的患者，如先前诊断为高血压，应特别注意血压控制。男性,或年龄大于65岁。
方法：本期刊要求作者为每篇文章分配一定程度的证据。对于这些循证医学评级的完整描述，请参阅目录或在线作者说明www。springer.com/00266.
