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在接受大动脉内气球治疗的患者中,两种侵入性血压测量之间的差异
Lijuan Lu1, Shiyi Zhang2, Yu Zhang2
1Nursing Department, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, No. 1095, Jiefang Avenue, Wuhan, 430000, Hubei Province, China. 819081876@qq.com.
BMC cardiovascular disorders
|September 9, 2023
概括
侵袭性中央大动脉压力 (ICAP) 在心脏性休克患者的内动脉气球 (IABP) 治疗中经常超过外周动脉压力 (IPAP). 年龄,乳酸水平和缺乏冠心病增加了这种血压监测差异.
科学领域:
- 心脏病学 心脏病学
- 关键护理医学 关键护理医学
- 血液动力学 血液动力学
背景情况:
- 血液动力学监测对于心脏性休克患者接受大动脉内气球 (IABP) 治疗至关重要.
- 侵入性外围动脉压 (IPAP) 和侵入性中央大动脉压 (ICAP) 监测方法之间的差异很常见.
- 这项研究调查了这些压力测量差异的程度和临床意义.
研究的目的:
- 在接受IABP治疗的心脏性休克患者中检查IPAP和ICAP测量之间的差异.
- 确定与血压监测中的临床显著差异相关的因素.
- 评估这些差异对患者管理的临床影响.
主要方法:
- 从2017年3月到2022年11月,对162名心脏性休克患者进行了回顾性分析,这些患者接受了IABP治疗.
- 布兰德-阿尔特曼图片用于说明ICAP和IPAP之间的协议.
- 多变量逻辑回归分析了与临床显著的MAP差异 (≥10 mmHg) 相关的因素.
主要成果:
- 在接受IABP的患者中,ICAP测量通常高于IPAP.
- 临床显著的MAP差异 (≥10 mmHg) 与较高的血清乳酸水平 (OR 1.14) 和≥60岁的年龄 (OR 13.20) 相关.
- 没有冠心病史与显著MAP差异 (OR 0.34) 的可能性增加有关.
结论:
- 在IABP的心脏性休克患者中存在ICAP和IPAP之间的显著差异.
- 高龄,乳糖水平升高和缺乏冠状动脉心脏病与更大的血压监测差异有关.
- 对于这些高风险患者,建议提高警,并考虑与IABP一起进行外围侵入性监测.
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