重症患者的高正常与低正常的平均动脉压值:随机试验的系统性审查和元分析

相关实验视频

Updated: Jul 28, 2025

08:37

Echocardiographic Assessment Using Subxiphoid-Only Examination for Hypotensive Patients

Published on: April 18, 2025

371

Kiran J K Rikhraj^1,2, Claire Ronsley³, Mypinder S Sekhon⁴

¹Department of Emergency Medicine, Faculty of Medicine, The University of British Columbia, Vancouver, BC, Canada. k.rikhraj@alumni.ubc.ca.

Canadian journal of anaesthesia = Journal canadien d'anesthesie

|June 2, 2023

概括

这项研究发现,在重症患者中,高正常和低正常的平均动脉压 (MAP) 目标之间,死亡率,神经结果或置换疗法需求没有显著差异. 这些发现支持目前在重症监护机构管理血压的指导方针.

科学领域:

关键护理医学关键护理医学
心血管生理学心血管生理学
腎臟病學 (nephrology) 是一種醫學專業.

背景情况:

在重症患者中最佳的平均动脉压 (MAP) 目标仍在争论中.
之前的审查表明,较高的MAP目标对死亡率没有好处,但新的证据需要更新.
这项研究解决了围绕不同重症患者群体MAP目标的不确定性.

结论:

这一更新的元分析表明,针对高正常MAP与低正常MAP的向并不会改变严重病患者的死亡率,神经结果或脏替代疗法需求.
这些发现提供了适度确定性的证据,支持有关MAP管理的当前临床实践.
没有观察到研究之间的显著异质性,加强了汇总结果.

关键词:

这是一个MAP MAP.病情严重,病情危急.死亡率死亡率神经学结果神经学结果替代疗法是一种替代疗法.

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