有创足背动脉压与无创肱动脉压测量的对比研究.docVIP

有创压与无创压测量的对比研究 上官云芳 段思源 姚颖 【摘要】 目的 探讨当有创压（ABP）处于不同范围时无创压（NIBP）与ABP 的关系。 方法 选取我院2012年6月～2013年5月期间入院即将进行的患者50例，选用右侧肱动脉测量NIBP，选用足背动脉测量ABP。所有患者均于静吸复合麻醉下进行手术，记录所有患者足背动脉穿刺诱导后1分钟（T1）、气管插管瞬间（T2）、插管后2分钟（T3）、手术切皮时（T4）各个时间点上的NIBP和相应的ABP，选取11mmHg为临界值，对ABP不同范围内不同时点ABP与NIBP之间的差异进行比较。 结果 （1）当ABP 111mmHg时，仅在插管后2分钟时ABP值大于NIBP，且差异有统计学意义（P 0.05）；而在诱导后1分钟（T1）、气管插管瞬间（T2）和手术切皮时（T4）ABP与NIBP之间的差异没有统计学差异（P 0.05）。（2）当ABP≥111mmHg时，各个时间点上的ABP值均大于NIBP值，且差异均有统计学差异（P 0.0001）；结论 当患者足背ABP高于111 mmHg时，ABP高于NIBP，而当ABP低于111 mmHg时，ABP并不低于NIBP。 【关键词】 ；有创动脉血压；无创动脉血压；足背动脉 Comparison of arterial blood pressure and non-invasive blood pressure Shangguan yun-fang，Duan si-yuan, Yao yin [Abstract] Objective To investigate the relationship between NIBP and ABP when ABP in different range. Methods A self-control study was conducted among 50 cases of patients prepared to accept gastrointestinal tumor operation from June 2012 to May 2013. The blood pressure of brachial artery was measured as NIBP and the blood pressure of dorsalis pedis artery were measured as ABP simultaneously. All patients received under inhalation anesthesia during surgery, NIBP and ABP were recorded after one minute induction T1 , tracheal intubation moment T2 , two minutes after intubation T3 and the skin incision moment T4 . Systolic pressure of 111mmHg was selected as cut-off point, differences between ABP and NIBP at various time points were compared. Results When ABP 111mmHg, ABP is higher than NIBP P 0.05 at T2 time point, while no statistical difference between ABP and NIBP appears at other time points. When ABP≥111mmHg, ABP is higher than NIBP at each time points P 0.0001 . Conclusion ABP is higher than NIBP when ABP ≥110mmHg, while ABI is not lower than NIBP when ABP 110mmHg among gastrointestinal tumor operation patients. Key words Gastrointestinal tumor operation, Arterial Blood Pressure, Non-Invasive Blood Pressure, Dorsalis Pedis Artery 血压是反映人体循环系统机能的重要指标，也是临床上用于监测患者生命体征的重要参数之一。血压测量主要包括有创和无创，有创血压（Arterial Blood Press