术前TAPSE/PASP比率作为一般麻醉诱导后低血压的非侵入性预测器
Ferdi Gülaştı1, Sevil Gülaştı2, Büşra Ceyhan Can1
1Department of Anesthesiology and Reanimation, Faculty of Medicine, Adnan Menderes University, Aydın 09010, Türkiye.
Diagnostics (Basel, Switzerland)
|June 13, 2025
概括
三 annular 平面缩外流 (TAPSE) /肺动脉缩压 (PASP) 的比率可以预测一般麻醉诱导后的低血压. 一个≤1.98的比率显示了在识别有风险的患者的潜力.
科学领域:
- 心脏病学 心脏病学
- 麻醉学 麻醉学
- 心声回声扫描 (Echocardiography) 是一种心声回声扫描.
背景情况:
- 低血压是一般麻醉诱导后经常出现的并发症.
- 右心室 (RV) 功能和肺循环可以使用TAPSE/PASP比率来评估.
- 预测外科手术期间的低血压对于患者的安全至关重要.
研究的目的:
- 评估TAPSE/PASP比率在一般麻醉后诱导低血压的预测能力.
- 为了确定TAPSE/PASP比率在预测低血压时的特定切断值.
主要方法:
- 一项前性观察性研究,涉及79名接受选择性手术的患者 (ASA身体状况I-III).
- 在麻醉诱导之前,用于测量TAPSE和PASP的Transthoracic心声学 (TTE).
- 在通用麻醉诱导后记录了血液动力学变化.
主要成果:
- 在TAPSE/PASP比率和低血压发生率 (p < 0.001) 之间发现了显著的关联.
- 一个TAPSE/PASP比率截止值≤1.98预测低血压,72.5%的灵敏度和64.1%的特异性 (AUC = 0.733).
结论:
- TAPSE/PASP比率显示出TAPSE/PASP比率显示出TAPSE/PASP比率显示出TAPSE/PASP比率显示出TAPSE/PASP比率显示出TAPSE/PASP比率显示出TAPSE/PASP比率显示出TAPSE/PASP比率显示出TAPSE/PASP比率显示出TAPSE/PASP比率显示出TAPSE/PASP比率显示出TAPSE/PASP比率显示出TAPSE/PASP比率显示出TAPSE/PASP比率显示出TAPSE/PASP比率显示出TAPSE/PASP比率显示出TAPSE/PASP比率显示出TAPSE/PASP比率显示出TAPSE/PASP比率.
- 需要进一步的研究来确认其在外科手术期间血液动力学管理中的临床实用性.
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