经桡动脉介入术后两臂血压测值的变化及影响因素

发布时间：2018-03-09 04:14

  本文选题：血压　切入点：经桡动脉介入术　出处：《南昌大学》2012年硕士论文　论文类型：学位论文

【摘要】：目的： 探讨经桡动脉途径介入术后血压测值的变化及影响因素。 方法： 选取2011年2月至2011年10月于我院择期拟行经右侧桡动脉途径冠状动脉造影（CAG）和/或冠状动脉介入治疗（PCI）的患者154例，按造影结果分为正常组和病变组，收集患者一般资料（性别、年龄、身高、体重、臂围等），分别于术前、术后1天、术后7天、术后90天以及术后≥180天同步测量患者的两侧肱动脉和桡动脉血压值，分析比较术后血压测值的变化及影响因素。 结果： 1、正常组术前左右侧肱动脉收缩压、舒张压均无差异（SBP：122.3±17.6mmHg vs122.4±17.9mmHg；DBP：70.6±10.0mmHg vs71.0±10.1mmHg，P＞0.05）；病变组术前左右侧肱动脉收缩压、舒张压无差异（SBP：118.4±12.7mmHg vs119.7±13.4mmHg；DBP：68.0±8.0mmHg vs68.6±8.4mmHg，P＞0.05）；正常组术前左右侧桡动脉收缩压、舒张压均无差异（SBP：119.9±11.9mmHg vs120.8±12.1mmHg；DBP：69.5±7.5mmHg vs70.4±7.6mmHg，P＞0.05）；病变组术前左右侧桡动脉收缩压、舒张压无差异（SBP：121.6±10.5mmHg vs122.5±10.1mmHg；DBP：70.8±6.2mmHg vs71.3±6.8mmHg，P＞0.05）。 2、正常组术后1天右侧肱动脉收缩压、舒张压低于左侧（SBP：117.8±14.6mmHg vs124.9±14.5mmHg；DBP：67.4±8.1mmHg vs71.5±7.9mmHg，P＜0.05），术后7天右侧肱动脉收缩压、舒张压仍低于左侧（SBP：117.4±10.4mmHg vs121.6±11.1mmHg；DBP：67.1±5.8mmHg vs70.8±6.7mmHg，P＜0.05）；病变组术后1天右侧肱动脉收缩压、舒张压低于左侧（SBP：116.5±14.1mmHg vs123.6±13.7mmHg；DBP：66.0±8.9mmHg vs72.7±8.8mmHg，P＜0.05），术后7天右侧肱动脉收缩压、舒张压仍低于左侧（SBP：113.0±8.9mmHgvs120.6±9.0mmHg；DBP：67.2±5.5mmHg vs71.7±6.3mmHg，P＜0.05）；正常组和病变组术后90天及术后≥180天两侧肱动脉收缩压和舒张压均无差异（P＞0.05），无统计学意义。 3、正常组术后1天、术后7天左右侧桡动脉收缩压分别为（119.9±12.6mmHgvs113.0±11.7mmHg，P＜0.05）、（118.3±8.7mmHg vs114.1±8.5mmHg，P＜0.05），有统计学差异，舒张压分别为（71.8±8.6mmHg vs65.6±8.7mmHg，P＜0.05）、（71.6±6.2mmHg vs67.1±5.9mmHg，P＜0.05），同样有统计学差异；病变组左右侧桡动脉收缩压术后1天（125.4±15.1mmHg vs115.6±14.0mmHg，P＜0.05）、术后7天（120.9±11.5mmHg vs114.8±10.7mmHg，P＜0.05）均有显著差异，舒张压分别为（72.6±9.2mmHg vs67.0±7.7mmHg，P＜0.05）、（71.6±7.4mmHg vs68.3±7.0mmHg，P＜0.05），有统计学差异。正常组和病变组术后90天、术后≥180天左右侧桡动脉收缩压和舒张压均无差异（P＞0.05）。 结论： 经桡动脉介入术后，术侧肱动脉和桡动脉收缩压、舒张压均低于对侧，尤其在冠状动脉造影证实有病变组中更明显，但这种差异随着时间的延长而逐渐减小。
[Abstract]:Objective:. To investigate the changes of blood pressure after transradial approach and its influencing factors. Methods:. 154 patients with CAG and / or PCI were selected from February 2011 to October 2011 in our hospital. They were divided into normal group and pathological group according to the results of angiography. The blood pressure of bilateral brachial and radial arteries were measured simultaneously before operation, 1 day after operation, 7 days after operation, 90 days after operation and more than 180 days after operation (gender, age, height, weight, arm circumference, etc.). The changes and influencing factors of blood pressure after operation were analyzed and compared. Results:. 1. The systolic and diastolic blood pressure of the left and right brachial artery in the normal group were not different before operation, SBP: 122.3 卤17.6mmHg vs122.4 卤17.9 mmHg vs122.4 卤17.9 mmHg DBP: DBP: 70.6 卤10.0mmHg vs71.0 卤10.1mmHg (P > 0.05), SBP: 118.4 卤12.7mmHg vs119.7 卤13.4mmHg vs68.6 卤8.4mmHg vs68.6 卤8.4mmHgg P > 0.05g / g, the systolic blood pressure of the left and right brachial artery was not different before operation. There was no significant difference in diastolic blood pressure (SBP: 119.9 卤11.9mmHg vs120.8 卤12.1 mmHg vs120.8 卤12.1mmHgU DBP: 69.5 卤7.5mmHg vs70.4 卤7.6mm Hgg P > 0.05), but there was no difference in systolic pressure between left and right radial artery (SBP: 121.6 卤10.5mmHg vs122.5 卤10.1mmHg vs71.3 卤6.8mmHg vs71.3 > 0.05mmg P > 0.05mmHg). 2. The systolic blood pressure of right brachial artery in normal group was lower than that in left SBP: 117.8 卤14.6mmHg vs124.9 卤14.5 mmHg vs124.9 卤14.5 mmHg DBP: 67.4 卤8.1mmHg vs71.5 卤7.9mmHgN P < 0.05 on the 1st day after operation. The systolic blood pressure of right brachial artery was still lower than that of left SBP117.4 卤10.4mmHg vs121.6 卤11.1 mmHgHg vs70.8 卤6.7mmHgG (P < 0.05), and the systolic blood pressure of right brachial artery was still lower than that of left SBP (117.4 卤10.4mmHg vs121.6 卤11.1 mmHg vs70.8 卤6.7mmHgG) on the 1st day after operation. The diastolic pressure was lower than that of the left SBP: 116.5 卤14.1mmHg vs123.6 卤13.7 mmHg DBP: 66.0 卤8.9mmHg vs72.7 卤8.8mm Hg (P < 0.05). The systolic blood pressure of the right brachial artery was still lower than that of the left SBP: 113.0 卤8.9mmHgvs120.6 卤9.0mmHgvs120.6 卤9.0mmHgvs120.6 卤5.5mmHg vs71.7 卤6.3mmHg (P < 0.05). There was no significant difference in systolic and diastolic blood pressure of the brachial artery between the normal group and the pathological group (P > 0.05). 3The systolic blood pressure of left and right radial artery in normal group was 119.9 卤12.6mmHgvs113.0 卤11.7mmHgV (P < 0.05 卤8.7mmHg vs114.1 卤8.5mmHgU P < 0.05). The diastolic blood pressure was 71.8 卤8.6mmHg vs65.6 卤8.7mmHgg (P < 0.071.6 卤6.2mmHg vs67.1 卤5.9mmHgg), respectively. There were significant differences in left and right radial artery systolic blood pressure (125.4 卤15.1mmHg vs115.6 卤14.0mmHgN P < 0.05) on the 1st day after operation and 120.9 卤11.5mmHg vs114.8 卤10.7mmHgGG (P < 0.05) on the 7th day after operation. The diastolic blood pressure was 72.6 卤9.2mmHg vs67.0 卤7.7mmHg vs67.0 < 0.05hgg P < 0.05hgg P < 0.05, respectively. There was statistical difference between the normal group and the pathological group on the 90th day after operation, there was significant difference between the normal group and the pathological group on the 90th day after operation, the diastolic blood pressure was 72.6 卤9.2mmHg vs67.0 卤7.7mmHg vs67.0 < 0.05mmHg < 0.05mmHg (P < 0.05). There was no significant difference in systolic and diastolic blood pressure between left and right radial artery 鈮，

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