心率变化与低血压之间的关系与胸肌病,随后在接受选择性手术的患者中进行脊柱麻醉
T F Okanlawon1, O R Eyelade2, A A Adebiyi2
1Department of Anaesthesia, College of Medicine, University of Ibadan/University College Hospital, Ibadan, Nigeria.
手术前心率变化 (HRV) 能够有效预测脊柱麻醉患者的低血压和心率. 这种分析有助于预测手术期间的不良心血管事件.
科学领域:
- 心脏病学 心脏病学
- 麻醉学 麻醉学
- 身体生理学 身体生理学
背景情况:
- 低血压和心肌梗塞是脊柱麻醉的常见并发症.
- 这些事件源于自主神经系统对局部麻醉剂的反应.
- 心率变化 (HRV) 是这些并发症的公认预测因素.
研究的目的:
- 为了研究手术前HRV测量和低血压与胸肌心脏发生的相关性.
- 评估在脊髓麻醉下接受选择性手术的患者中HRV的预测值.
主要方法:
- 八十四名患者 (18-65岁) 被纳入.
- 心率变化 (HRV) 在心电图后进行测量.
- 血压,心率和HRV (LF和HF领域) 被监测在手术前和手术期间.
- 多变量分析确定了低血压,心和人口/血液动力学因素之间的关联.
主要成果:
- 低血压发生在65.5%的患者中.
- 年龄, baseline 缩和腹缩血压与低血压有显著的联系.
- 低频 (LF) HRV域与低血压相关.
- 高频 (HF) HRV域与心相关.
结论:
- 手术前心率变化 (HRV) 是预测低血压和心率的宝贵工具.
- HRV分析可以帮助风险分层和管理接受脊柱麻醉的患者.
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