冲击指数参考范围在选择性剖腹产后的产后前48小时:一项前性队列研究
Ayse Cigdem Bayrak1, Erdem Fadiloglu1, Umut Sinci1
1Department of Obstetrics and Gynecology, Hacettepe University Faculty of Medicine, Ankara, Turkey.
European journal of obstetrics, gynecology, and reproductive biology
|December 27, 2024
概括
剖腹产后产后患者的冲击指数 (SI) 通常为0.7. 在产后的前48小时内,SI高于0.9可能表明不良结果,需要仔细评估.
科学领域:
- 产科和妇科 产科和妇科
- 孕产妇和胎儿医学 孕产妇和胎儿医学
- 麻醉学 麻醉学
背景情况:
- 冲击指数 (SI) 是一个简单的,非侵入性的血液动力学参数.
- 在特定产后人群中确定SI的参考值对于早期发现并发症至关重要.
- 剖腹产,特别是区域麻醉下的选择性手术,在分娩后期涉及独特的生理考虑.
研究的目的:
- 确定在经过区域麻醉的选择性剖腹产分娩的产后患者的冲击指数 (SI) 的参考值.
- 确定这个队列的产后前48小时内SI值的第95百分位数.
- 确定不利结果评估的潜在门.
主要方法:
- 从2023年8月到2024年3月,在高等中心进行的前性研究.
- 包括311名在妊娠34周后接受选择性剖腹产的患者.
- 排除高风险怀孕和术后护理的标准化,包括流体管理和子宫激动剂的使用.
主要成果:
- 在产后的前48小时内,平均SI值约为0.7.
- 在整个研究期间,SI的第90和95百分位数约为0.9.
- 过去的剖腹产,子宫增生剂或平价都没有显著影响SI值. 心率的第95百分位是每分钟96到100跳.
结论:
- 冲击指数 (SI) 为0.9,表示在选择性剖腹产后的产后48小时内第95个百分位.
- 高于0.9的SI值需要对潜在的不良结果进行仔细的临床评估.
- 这些参考值可以帮助在产后期早期识别出血动力学不稳定性.
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