持续的非侵入性血液动力学监测在早期发病的严重产前
Christina M Ackerman-Banks1, Jasjit Bhinder2, Maxwell Eder3
1Department of Obstetrics and Gynecology, Baylor College of Medicine, Houston, TX, United States.
Pregnancy hypertension
|October 2, 2023
概括
与NICOM设备不同的是,Clearsite Fingercuff设备显示了在严重的先兆子中监测心脏输出和总外周电阻的潜力. 这一发现有助于在这种关键条件下个性化患者管理.
科学领域:
- 心血管生理学心血管生理学
- 关键护理医学 关键护理医学
- 产科 产科 产科 产科 产科
背景情况:
- 严重的孕前带来很大的风险,需要精确的血液动力学监测以有效管理.
- 持续监测心脏输出 (CO) 和总外周电阻 (TPR) 可以促进在患有严重孕前的患者个性化治疗策略.
研究的目的:
- 为了比较通过生物反应 (NICOM) 和ClearsiteTM Fingercuff (CS) 获得的心脏输出 (CO) 和总外周阻力 (TPR) 测量结果的准确性和可互换性,与严重预先怀孕症的3D心声学 (3DE) 进行比较.
主要方法:
- 一项前性观察性研究,涉及12名患有早期严重子宫前的孕妇患者.
- 使用NICOM,CS和3DE同时测量CO和TPR,进行产前和产后测量.
- CS和NICOM的可互换性,精度和准确性与3DE作为参考标准进行了评估.
主要成果:
- ClearsiteTM Fingercuff (CS) 显示了与3DE的高相关性 (R2=0.70对于CO,R2=0.81对于TPR) 和低百分比误差 (29%),满足了可互换性标准.
- 尼科姆只显示了中度的相关性 (R2=0.29对于CO,R2=0.32对于TPR) 和高百分比的错误 (52%对于CO,67%对于TPR),未能满足与3DE.com的可互换性标准.
- 虽然CS表现出CO的轻微高估和TPR的低估,但这些变化在临床上被认为是微不足道的.
结论:
- ClearsiteTM Fingercuff (CS) 是一个潜在的临床有用的工具,用于监测心脏输出量和严重孕前的外周总电阻.
- 尼科姆设备不符合与3DE互换的标准,这表明它不太适合在这个患者群体中进行血液动力学监测.
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