| 李刚 胡彬 马涛 郑军 白文娟.有创动脉压监测在危重肝胆手术患者中的应用[J].,2016,16(25):4886-4888 |
| 有创动脉压监测在危重肝胆手术患者中的应用 |
| Application Values of Invasive Arterial Pressure Monitoring for the CriticallyHepatobiliary Surgery Patients |
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| DOI： |
| 中文关键词: 有创动脉压 无创动脉压 肝胆手术 并发症 心功能 |
| 英文关键词: Invasive arterial pressure Noninvasive arterial pressure Hepatobiliary surgery Complications Cardiac function |
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| 中文摘要: |
| 目的：探讨有创动脉压监测在危重肝胆手术患者中的应用方法与价值。方法：选择2011 年2 月到2015 年4 月在我院进行
危重肝胆手术的患者110 例，随机分为治疗组与对照组各55 例，治疗组在围手术期给予有创动脉压监测，对照组在围手术期给
予无创动脉压监测。除所用传感器不一样，均采用监护仪检测患者在围手术期内血压异常、血流动力学参数变化以及并发症发生
情况。结果：治疗组围手术期的血压异常率为36.4 %，对照组为12.7 %，治疗组的血压异常率明显高于对照组(P<0.05)。治疗组术
中的平均动脉压(MAP)、每搏出量(SV)、每搏指数(SI)、心输出量(CO)和心脏指数(CI)都明显高于对照组(P<0.05)。两组围手术期的
感染、血肿、神经损伤、皮肤坏死等并发症发生情况对比差异无统计学意义(P>0.05)。结论：有创动脉压监测在危重肝胆手术患者
中的应用可有效反映血压异常情况，有利于进行心功能的判定，安全性好，有很好的应用价值。 |
| 英文摘要: |
| Objective:To investigate the application values of invasive arterial pressure monitoring for the critically hepatobiliary
surgery patients.Methods:110 patients with critically hepatobiliary surgery selected from February 2011 to April 2015 in our hospital
were randomly equally divided into treatment group and the control group, 55 patients each group. The treatment group was given the invasive
arterial pressure monitoring in the perioperative period, and the patients in control group received non-invasive blood pressure
monitoring in the perioperative period. Except for the difference in sensors, the patients in both groups were given the same monitor to
measure the abnormal blood pressure, variation of hemodynamic parameters and complication occurrence during perioperative period.Results:The abnormality rate of perioperative blood pressure were 36.4%and 12.7 %in the treatment group and the control group, so it
was significantly higher in the treatment group than control group(P<0.05). The perioperative mean arterial pressure (MAP), stroke volume
(SV), stroke index (SI), cardiac output (CO) and cardiac index (CI) in the treatment group was significantly higher than that of control
group (P<0.05). There were no statistically significant differences in the incidence of perioperative infection, hematoma, nerve damage,
skin necrosis and other complications between two groups (P>0.05).Conclusion:The invasive arterial pressure monitoring in critically
hepatobiliary surgery patients can effectively reflect the abnormality of blood pressure, so it is conductive to determine cardiac function
with good security and application values. |
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