Number №3, 2013 - page 66-71

Preparation of patients with hypertension for minimally invasive methods of treating kidney stones

Apolihin O.I., Davydova S.S.

The aim. Study for hypertension in patients urolithiasis. To find out details of the preparation of patients with hypertension to the surgical treatment. Materials and methods. Selected for the study with concomitant hypertension 589 male patients with urolithiasis (group I). The control group formed by the inclusion of 50 men with urolithiasis and hypertension, taken at an emergency surgery. The groups were matched for age, BMI, history of hypertension, presence of comorbidities. Patients in group I daily monitoring of arterial pressure was performed prior to surgery, on the second and tenth day after the operation. Patients in group II daily monitoring of arterial pressure before the operation was not made. Results. In the early postoperative period in 5 patients (0,9%) I group after lithotripsy developed hypertensive crises. In group II it occurred in 38 patients (76.0%) (p < 0.0001). The percentage of patients with elevated blood pressure values on the second postoperative day was higher in patients of group II compared to group I (p < 0.01). Moreover, all the patients were subjected to lithotripsy, the proportion of patients with high blood pressure after lithotripsy group II was 90.7% (p < 0.05). Conclusion. The most important is the selection of effective antihypertensive therapy to patients with hypertension, sent to the treatment of the urolithiasis, in particular the method of lithotripsy. Achieving target blood pressure under control in daily monitoring of arterial pressure, patients undergoing the procedure lithotripsy, significantly less likely to cause a hypertensive crises in the early postoperative period, less significantly increases blood pressure in the first days after surgery.

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