左侧侧骨压力对左侧动脉血流的影响
Benjamin Javillier1,2, Flavien Grandjean3, Karim Ounas3
1Department of Anesthesia, Clinique Saint-Luc de Bouge, Namur, Belgium.
Acta anaesthesiologica Scandinavica
|October 5, 2023
概括
在健康个体中,左侧腹压力 (LPP) 可能会封闭食道,但不会显著影响心血管血流. 需要对患有动脉异常的患者进行进一步的安全评估.
科学领域:
- 血管外科 血管外科
- 胃肠病学 胃肠病学
- 医疗器械 医疗器械
背景情况:
- 左侧腹腔压力 (LPP) 是一种用于食道密封的技术.
- 左常 carotid 动脉的接近引起了人们对LPP应用期间潜在的血液动力学效应的担忧.
研究的目的:
- 为了评估LPP对动脉血流的血液动力学影响.
- 评估LPP与动脉相关的安全性.
主要方法:
- 对47名健康成年志愿者的前性研究.
- 排除孕妇和患有动脉异常的个人.
- 多普勒声谱用于测量动脉速度和平面度在LPP之前和期间.
主要成果:
- 在LPP (p=0.14) 后,左侧常 carotid 动脉的峰值缩速度 (PSV) 没有显著变化.
- 在LPP后,左侧常见动脉 (p=0.11) 或内动脉 (p=0.58) 的横截面没有显著变化.
- 在研究队列中,LPP没有显示出对动脉血流的显著血液动力学影响.
结论:
- 在没有先前存在的冠状动脉病理的个体中,LPP似乎对冠状动脉血流没有显著的影响.
- 在患有潜在的动脉异常或风险的患者中,LPP的安全性需要进一步调查.
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