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在接受机器人辅助脏移植的末期功能衰竭患者中,外科视觉神经径变化:一项前性观察性研究
Nisha Rajmohan1, Jithendra Thiruvathtra1, Shilpa Omkarappa1
1Department of Anesthesia and Critical Care, Aster Medcity, Kochi, India.
Clinical transplantation and research
|June 28, 2024
概括
慢性病患者的机器人辅助移植 (RAKT) 最初增加了视神经外直径 (ONSD),后来减少了. 在手术过程中,血压与这些ONSD变化有显著的相关性.
科学领域:
- 神经外科 神经外科
- 腎臟病學 (nephrology) 是一種醫學專業.
- 麻醉学 麻醉学
背景情况:
- 患有慢性病 (CKD) 且接受血液透析的患者容易发生脑.
- 机器人辅助手术可以提高内压力和视神经外直径 (ONSD).
- 慢性病,药物 (富洛塞米德,曼尼托尔) 和血液动力学变化的相互作用使机器人辅助移植 (RAKT) 期间的ONSD变化复杂化.
研究的目的:
- 在接受RAKT的患者中调查ONSD变异.
- 为了确定影响RAKT期间ONSD变化的周围手术血液动力学因素.
主要方法:
- 对20名接受RAKT的患者进行前性研究.
- 在六个时间点对ONSD和血液动力学参数 (心率,中央静脉压,血压) 进行连续测量.
- 统计分析包括重复测量ANOVA和皮尔森相关性.
主要成果:
- 在对接 (T3) 和再输液 (T4) 后,ONSD从基线显著增加,然后减少3小时后化 (T6).
- 观察到T3的ONSD变化和腹压血压 (DBP) 和平均动脉压 (MAP) 之间存在显著的正相关性.
结论:
- 在RAKT过程中,ONSD最初增加了开放性尿道缩,随后在再输液后下降.
- DBP和MAP与程序期间的ONSD变化有积极的相关性.
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