在手术前测量脉冲波速度可以预测在麻醉诱导期间高血压患者的低血压吗?
Sinan Yılmaz1, Imran Kurt Ömürlü2
1From the Department of Anesthesiology and Reanimation, Aydin Adnan Menderes University School of Medicine, Aydin, Turkey.
Annals of Saudi medicine
|June 4, 2023
概括
手术前脉冲波速率 (PWV) 在高血压患者的全身麻醉诱导期间有效预测低血压. 这种非侵入性测量可以帮助预测高血压的老年人血液动力学不稳定.
科学领域:
- 麻醉学 麻醉学
- 心血管生理学心血管生理学
- 老年医学 老年医学
背景情况:
- 血液动力学不稳定性在一般麻醉诱导期间常见于老年高血压患者.
- 动脉硬度增加,通过脉冲波速度 (PWV) 表示,有助于并发症.
- 预测和管理这些血液动力学变化对于患者的安全至关重要.
研究的目的:
- 为了研究手术前脉冲波速度 (PWV) 与一般麻醉诱导期间的血液动力学变化之间的关系.
- 为了确定通过PWV测量的动脉硬度是否可以预测高血压患者的低血压.
主要方法:
- 在一所大学医院进行的前性病例控制研究.
- 将患有高血压 (HT) 的患者与接受选择性手术的非高血压 (非HT) 对照 (年龄≥50) 进行比较.
- 在手术前测量PWV,并在麻醉诱导期间在特定时间点评估低血压率.
主要成果:
- 高血压患者的PWV明显高于非高血压对照组 (P<.001).
- 低血压发生在30秒后的HT组中更频繁 (P=.025).
- 较高的PWV与低血压有关,特别是在30秒内输液后 (P=.018).
结论:
- 术前PWV是高血压患者在全身麻醉诱导期间低血压的有价值的非侵入性预测剂.
- 通过PWV测量的动脉硬度可能有助于识别患有血液动力学不稳定性风险的患者.
- 需要进一步的研究来解决研究的局限性,包括不平等的组大小和药物效应.
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