| 全身麻醉患者无创血压与有创血压的对比研究 |
| 投稿时间：2014-11-28 修订日期：2014-12-16 点此下载全文 |
| 引用本文：徐鑫,吴廷丽,马正良,顾小萍.全身麻醉患者无创血压与有创血压的对比研究[J].医学研究杂志,2015,44(7):141-143 |
| DOI：
10.11969/j.issn.1673-548X.2015.07.040 |
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| 中文摘要:目的 探讨全身麻醉患者双侧肱动脉无创血压(NIBP)与桡动脉有创动脉压(IBP)的关系。方法 于全身麻醉下进行手术的患者82例,麻醉诱导前后及术中同步测量双侧无创血压及有创血压,根据有创收缩压值(ISBP)大小分为A组(ISBP≤90mmHg)、B组(90mmHg150mmHg)。对各组数值进行差异分析,并对有创血压和无创血压值做线性相关分析。结果 4组患者双侧无创血压无统计学差异(P>0.05);A组有创收缩压低于双侧无创收缩压(P<0.05);B、C、D组有创收缩压高于双侧无创收缩压(P<0.05),且随着血压升高差值呈逐渐增高趋势;A、D组有创舒张压与双侧无创舒张压差异无统计学意义(P>0.05);B、C组有创舒张压低于双侧无创收缩压(P<0.05)。有创收缩压与同侧袖带收缩压显著相关(r=0.940,P<0.01),有创舒张压与同侧袖带舒张压显著相关(r=0.925,P<0.01)。结论 全麻平卧位患者有创血压与无创血压显著相关,在一定血压范围内,可通过无创血压对有创血压进行初步估计。 |
| 中文关键词:有创血压 无创血压 全身麻醉 双侧 |
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| Comparative Study of Invasive Blood Pressure and Non-invasive Blood Pressure in General Anesthesia |
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| Abstract:Objective To investigate the differences of invasive blood pressure(IBP) and non-invasive blood pressure(NIBP) in general anesthesia. Methods Eighty-two patients undergoing general anesthesia were divided into four groups depending on invasive systolic blood pressure (ISBP): group A, ISBP≤90mmHg; group B,ISBP 90-120 mmHg; group C, ISBP 120-150mmHg; group D, ISBP>150mmHg.Non-invasive blood pressure and arterial blood pressure was monitored at the same time. Bilateral NIBP and IBP values were compared by paired t-test and linear correlation analysis. Results There was no significant difference between bilateral NIBP of four groups. Invasive systolic blood pressure was lower than bilateral non-invasive systolic blood pressure in group A (P<0.05).Invasive systolic blood pressure was higher than bilateral non-invasive systolic blood pressure in group B,C and D (P<0.05) and the difference was more significant when the blood pressure was more higher. There was no significant difference between arterial diastolic blood pressure and bilateral non-invasive diastolic blood pressure in group A and D(P>0.05). Arterial diastolic blood pressure was significantly lower than bilateral non-invasive diastolic blood pressure in group B and C. There was significant correlation between arterial systolic blood pressure and bilateral non-invasive systolic blood pressure (r=0.940,P<0.01). There was significant correlation between arterial diastolic blood pressure and bilateral non-invasive diastolic blood pressure (r=0.925,P<0.01). Conclusion There was significant difference and correlation between arterial blood pressure and non-invasive blood pressure. Arterial blood pressure can be estimated by non-invasive blood pressure in certain blood pressure range. |
| keywords:Arterial blood pressure Non-invasive blood pressure General anesthesia Bilateral |
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