连续无创与有创血流动力学监测在全身麻醉中的一致性分析

发布时间：2018-06-05 05:07

  本文选题：连续无创血压 + 每搏量变异度　； 参考：《北京医学》2016年06期

【摘要】：目的探讨应用连续无创血压监测系统(continuous non-invasive arterial pressure,CNAP)所测的收缩压(SBP)、舒张压(DBP)、平均动脉压(MAP)、每搏量变异度(SVV)、脉压变异度(PPV)、心排出量(CO)和每搏量(SV)等血流动力学参数与Flotrac/Vigileo获得的相关参数的一致性。方法 25例择期行全麻下开腹手术的患者,年龄18~60岁,美国麻醉医师协会(ASA)麻醉风险分级Ⅰ~Ⅱ级者,静脉全麻诱导后于患者左手进行桡动脉穿刺,连接Flotrac/Vigileo,左手食指与中指连接Li DCOrapid(CNAP)双指套传感器,在手术过程中每隔5 min记录SBP、DBP、MAP、SVV、PPV、CO、SV等血流动力学参数。结果 CNAP组SBP低于Flotrac/Vigileo组(P0.01),CNAP组DBP和PPV高于Flotrac/Vigileo组(P0.05);2组的MAP、SVV、CO、SV的差异无统计学意义。2组的SBP、DBP相关系数r=0.763,r=0.700,P均0.01,而PPV的相关系数r=0.662,P0.01。结论 CNAP与Flotrac/Vigileo具有相似的临床应用价值。但也应注意SBP、DBP和PPV存在的差异。
[Abstract]:Objective to investigate the hemodynamic parameters and Flotrac/Vigileo of systolic blood pressure (SBP), diastolic blood pressure (DBP), mean arterial pressure MAPP (MAPP), pulse pressure variability (PVV), pulse pressure variability (PPV), cardiac output volume (non-invasive arterial) and stroke volume (SVV) measured by continuous noninvasive blood pressure monitoring system (continuous non-invasive arterial pressureCNAP). Obtain the consistency of the relevant parameters. Methods Twenty-five patients (1860 years old, aged 1860 years) undergoing elective open surgery under general anesthesia and the American Association of Anesthesiologists (ASAA) were divided into two groups. The patients underwent radial artery puncture in their left hand after intravenous general anesthesia induction. The hemodynamic parameters, such as SBP DBP MAPP, SVV, PPV, COSV, etc, were recorded every 5 min during operation by connecting Flotracr / Vigileo, left index finger and middle finger with Li DCOrapido CNAPs. Results SBP in CNAP group was lower than that in Flotrac/Vigileo group (P 0.01) and PPV was higher than that in Flotrac/Vigileo group (P 0.05). There was no significant difference in the correlation coefficient of DBP and PPV between CNAP group and Flotrac/Vigileo group. There was no significant difference in correlation coefficient between two groups (P < 0.01), but the correlation coefficient of PPV was r 0.662n (P 0.01). Conclusion CNAP and Flotrac/Vigileo have similar clinical value. But we should also pay attention to the difference between SBP and PPV.
【作者单位】： 解放军总医院麻醉手术中心;
【分类号】：R614
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本文编号：1980675