The Influence Of Intraoperative Blood Pressure On Graft Function In Allograft Renal Transplantation

Objective: We investigated the influence of intraoperative blood pressure ongraft function in allograft renal transplantation in order to further optimizethe anesthetic management of renal transplantation and reduce the incidenceof postoperative complications.Methods: This retrospective study included54cases of allograft renaltransplantation patients in January2009to August2014. The functionalrecovery of renal transplants can be divided into two groups (n=27): delayedgraft function (DGF) and immediate graft function (IGF), two patients wereexcluded in DGF group. The systolic pressure, diastolic pressure and meanarterial pressure, heart rate were compared between two groups in four timepoints: preoperative status, the time of into operating room, the time ofreperfusion, and the time of leaving the operating room.Results: There is no significant difference between two groups in age, sex,height and type of dialysis (P>0.05); however, the duration of dialysis of thepatients with DGF is longer than those with IGF. The comparison of systolicpressure, diastolic pressure and mean arterial pressure, heart rate were notsignificant between two groups in four time points: preoperative status, thetime of into operating room, the time of reperfusion and the time of leavingthe operating room（P>0.05).Conclusion: Based on the current blood pressure management plan thatintraoperative blood pressure fluctuates less than30%of the preoperativevalue, the anesthesia management of allograft renal transplantation surgery issafe and reasonable. There was no connection between postoperative renalfunction recovery and intraoperative blood pressure.