国际麻醉学与复苏杂志   2011, Issue (4): 7-7
    
FloTrac/VigileoTM系统用于重度妊高症剖宫产术的麻醉管理
王金保, 王姝媛, 孙莉1()
1.中国人民解放军白求恩国际和平医院
Anesthesia management of uterine-incision delivery in high risk pregnancy-induced hypertension using the FloTrac/VigileoTM system
 全文:
摘要:

目的 评价flotrac/vigileo系统监测在重度妊高症患者剖宫产术中的应用价值。方法 27例行剖宫产术的重度妊高症患者行flotrac/vigileo系统监测,分别在入室、麻醉后5min、手术开始、胎儿娩出、清理腹腔和手术结束等6个时间点监测平均动脉压、心率、心输出量、心脏指数、每搏量、每搏量变异度、每搏量指数等指标。结果 术中各时间点血流动力学指标变化无显著性差异。结论 flotrac/vigileo监测能够及时反映患者的心功能变化,为重度妊高症产妇剖宫产术提供了安全保障。

关键词: 心排血量;监测;麻醉管理
Abstract:

Objective  To evaluate the value of the flotrac./vigileo system applied to the patient s of high risk pregnancy-induced hypertension undergoing uterine-incision delivery . Methods  Twenty-seven patients of high risk pregnancy-induced hypertension scheduled for uterine-incision delivery were selected. Mean arterial pressure (MAP), heart rate (HR), cardiac output (CO), cardiac index (CI), stroke volume (SV), stroke volume variation (SVV), stroke volume index (SVI) were measured and recorded at 6 selected time points: preoperation, 5 min after anesthesia, the start of the operation, expulsion, cleaning the abdomen, the end of operation. Results  Compared with preoperation, the hemodynamic indexes were on significante differences in other time points. Conclusion  The flotrac/vigileo system monitoring can show the changes of cardiac function in time during operation, which is a safe , reliable monitoring device for hemodynamic monitoring in uterine-incision delivery surgery.

Key words: cardiac output; mornitor; anesthesia management