有创血压监测在全麻诱导期的应用价值
Clinical significance of invasive blood pressure monitoring during induction of general anesthesia
王丽霞 1龚婵娟 1徐玉洁 1朱敬明 1丁正年1
作者信息
- 1. 210029江苏省,南京医科大学第一附属医院麻醉科
- 折叠
摘要
目的 探讨有创血压监测(IBP)在全麻诱导期的应用价值.方法 行全麻下手术患者60例均分为三组:A组,年龄18-65岁,无高血压史；B组,年龄18-65岁,有高血压病史；C组,年龄≥65岁,无高血压史.三组又均分为两个亚组:麻醉诱导期,A1、B1、C1组采用无创血压(NIBP)监测,A2、B2、C2组行IBP监测.记录血压、心率变化和诱导期药物使用.结果 A2、B2、C2组血管活性药物和(或)雷米芬太尼使用次数均明显多于A1、B1、C1组(P＜0.05).气管插管前即刻,B2组血压明显低于B1组(P＜0.05).结论 IBP监测,尤其在高血压患者,能及时、准确显示血压的波动,指导主动干预,有效维持麻醉诱导期的循环稳定.
Abstract
Objective To investigate the clinical significance of invasive blood pressure(IBP)monitoring duing induction of general anesthesia.Methods Sixty surgical patients undergoing general anesthesia were equally divided into three groups of A(aged 18 to 65 years old,without hypertension),B(aged 18 to 65 years old,with hypertension) and C (≥ 65 years old,without hypertension).Each group was equally divided into two subgroups.During anesthesia induction,noninvasive blood pressure(NIBP) monitoring was performed in groups of A1,B1 and C1,and IBP monitoring was carried out in groups of A2,B2 and C2.During anesthesia induction,frequency of drug use and changes of BP and HR were recorded and compared.Results The frequency of drug use including vasoactive drugs and remifentanil was more in groups of A2,B2 and C2 than that in groups of A1,B1 and C1(P＜0.05).BP was lower in group B2 than that in group B1 (P＜0.05).Conclusion The IBP monitoring,especially in the patients with hypertension,can timely and accurately display the changes of BP during anesthesia induction,which is helpful in guiding drug intervention and keeping circulation stable.
关键词
有创血压监测/麻醉诱导/高血压Key words
Invasive blood pressure monitoring/Anesthesia induction/Hypertension引用本文复制引用
出版年
2013
NETL
NSTL
维普
万方数据