Preoperative Preparation Of Elderly Patients With Concomitant Hypertension In The Practice Of Ophthalmic Surgery

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Background: The relevance of the problem of arterial hypertension (AH) is determined by its high frequency in the population, the influence on the state of health, working capacity and longevity of the population. Persons of old and old age, as a rule, have a significant amount of risk factors for cardiovascular diseases, very often there are lesions of target organs and associated clinical conditions, therefore, the majority of painful AHs of these age-related categories belong to high and very high-risk groups. Purpose of the research: To optimize the existing methods of managing elderly and senile patients with hypertension during cataract extraction, including preoperative assessment of patients' condition and preparation, intraoperative protection. Materials and methods: Clinical observations cover 150 patients aged 60 to 89 years (74.7 ± 0.5), who were required for surgical treatment for age-related cataracts in the department of ophthalmology at the Sam clinic. Depending on the method of anesthesiology, all patients were divided into 2 groups. Results: All patients with hypertension on the background of an antihypertensive therapy have clinically achieved the target numbers for arterial pressure. . Arterial hypertension before surgery in patients of the II group testified to a pressurized reaction of the cardiovascular system (CCC) in response to psycho-emotional irritation and a short-term associated with it. After the operative period, indicators of the functional state of the CVS improved, however, tachycardia of the heart rate of 85.4 ± 1.4 use of antihypertensive and pain-relieving drugs. In patients of the I-group, the SAD stabilized at 87.7 ± 3.7 mm Hg, heart rate 66.2 ± 3.4 beats. in minutes at the I-stage already after premedication. Conclusion. The results of the study suggest that conducting adequate antihypertensive therapy in combination with drugs that reduce mental and emotional stress in the preoperative period, exclusion of eye contact, psychoemotional stress through sedation and neuroleptanalgesia in waiting rooms allows to stabilized the clinical state of patients, clearly correlating with an improvement in hemodynamic parameters.