神经外科手术中桡动脉与足背动脉脉压变异度的一致性分析

发布时间：2018-03-20 15:39

本文选题：神经外科　切入点：桡动脉　出处：《临床麻醉学杂志》2017年05期 　论文类型：期刊论文

【摘要】：目的探讨在神经外科手术中桡动脉与足背动脉的脉压变异度的一致性。方法选择神经外科择期开颅手术患者25例,全麻气管插管后,记录麻醉诱导后20min、去骨瓣即刻、剪开硬膜即刻、上骨瓣时的桡动脉脉压变异度(PPV1)与足背动脉脉压变异度(PPV2)。VT设置为8ml/kg,采用Bland-Altman法分析PPV1与PPV2的一致性。结果 Bland-Altman分析显示:PPV1与PPV2麻醉诱导后20 min平均偏差0.5%(-1.9%~2.8%);去骨瓣即刻平均偏差-0.5%(-3.8%~2.9%);剪开硬膜即刻平均偏差-0.1%(-3.2%~3.0%);上骨瓣时平均偏差0.1%(-2.4%~2.6%)。结论与桡动脉脉压变异度一样,足背动脉脉压变异度对于神经外科开颅手术中的容量监测及容量治疗有指导意义。
[Abstract]:Objective to investigate the consistency of radial artery and dorsalis pedis artery pulse pressure variability in Department of Neurosurgery surgery. Methods 25 patients undergoing elective craniotomy in Department of Neurosurgery, general anesthesia after tracheal intubation after induction of anesthesia, recording 20min, bone flap immediately, immediately cut the dura mater, radial artery pulse pressure on bone flap of variability (PPV1) and the dorsalis pedis artery pulse pressure variability (PPV2) of.VT is set to 8ml/kg, PPV1 and PPV2 consistency analysis using Bland-Altman method. The results of Bland-Altman analysis showed that PPV1 and PPV2 20 min after induction of anesthesia, the average deviation of 0.5% (-1.9%~2.8%); bone flap immediate mean deviation -0.5% (-3.8%~2.9%); cut the dura mater immediately mean deviation -0.1% (-3.2%~3.0%); the average deviation of 0.1% when the bone flap (-2.4%~2.6%). Conclusion the variability of radial artery and pulse pressure, pulse pressure variability of dorsal artery of foot has guiding meaning for craniotomy in Department of Neurosurgery capacity monitoring and treatment capacity Righteousness.

【作者单位】：郑州大学第一附属医院麻醉科;
【分类号】：R614

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