脊柱麻醉和区域血液动力学参数
Dilan Taş1, Yavuz Kelleci2, Tumay Umuroğlu2
1Department of Anesthesiology and Reanimation, Erciş Şehit Rıdvan Çevik State Hospital, Van, Turkey.
脊柱麻醉 (SA) 增加后关动脉 (PTA) 血流,通过脉冲波多普勒 (PWD) 超声波测量. 这些发现表明PWD可以帮助评估SA区块的成功.
科学领域:
- 血管超声波学 血管超声波学
- 麻醉学 麻醉学
- 血液动力学 血液动力学
背景情况:
- 脊柱麻醉 (SA) 诱导下肢的同情切除术,导致动脉血流增加.
- 脉冲波多普勒 (PWD) 超声波 (USG) 可以检测出这些血液动力学变化.
- 后动脉 (PTA) 是评估下肢血流的关键血管.
研究的目的:
- 在SA后使用PWD调查PTA血流参数的变化.
- 为了确定PWD测量是否与SA区块的成功相关.
- 为了测试SA在PTA中增加缩和透缩流速的假设.
主要方法:
- 包括30名年龄在18-65岁之间的患者,他们接受了SA的选择性手术.
- 带有PWD的USG被用于测量PTA直径和多普勒参数 (PSV,EDV,Vmn,S/D,PI,RI).
- 测量是在SA给药前,5分钟和10分钟后进行的.
主要成果:
- SA改变了PTA光谱波形,从三相变为单相.
- 船舶直径和流速 (PSV,EDV,Vmn) 在SA后显著增加 (p < .001).
- 脉动率指数 (PI),电阻率指数 (RI) 和S/D比率在SA后显著下降 (p < .001),与区块深度相关.
结论:
- SA显著改变了PTA光谱波形,直径和多普勒流速参数.
- 普德对PTA的评估显示,作为评估SA区块成功的补充工具,它是有希望的.
- 这种技术在SA使用的有沟通障碍的患者中特别有用.
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