国际麻醉学与复苏杂志   2013, Issue (11): 5-5
    
有创与无创血压准确性的评价以及对治疗的影响
王丽霞, 沈健, 丁正年1()
1.江苏省人民医院
The accuracy evaluation and influence on treatment of invasive and noninvasive blood pressure monitoring
 全文:
摘要:

【摘要】 背景 血压监测在麻醉诱导期至关重要,准确及时的监测血压对指导麻醉期间用药和保障患者的安全具有重要意义。在临床中同一患者的有创血压值和无创血压值存在一定差异。目的 就不同患者有创及无创血压值的差异以及对治疗的影响做一综述。内容 当患者血压较高时有创血压值高于无创血压值,血压较低时有创血压值低于无创血压值,使用无创和有创血压同时监测能降低患者围手术期血管活性药物以及血液制品的使用率。趋向 围手术期同时使用无创和有创血压监测,可以帮助我们得到更可靠的血流动力学信息,及时发现病情变化,做出准确及时的处理。

关键词: 有创血压;无创血压;治疗
Abstract:

[Abstract] Background Blood pressure monitoring is part of the standard of care for anesthesia induction, which is also very important for the guidance of clinical medication and the safety of patients. Objective This review summarizes the difference between noninvasive (NIBP) and invasive (IBP) blood pressure of different patients and influence on treatment. Content Compared with IBP, NIBP was likely to be higher than IBP at lower pressures, and NIBP was likely to be lower than IBP at higher pressures. Concomitant use of NIBP with IBP was associated with decreased use of transfusions, vasopressors, and antihypertensives compared with use of IBP alone. Trend The use of NIBP measurement to supplement IBP measurement is associated with getting accurate blood pressure and timely treatment compared with use of IBP measurement alone.

Key words: Invasive blood pressure measurement; Noninvasive blood pressure measurement; Therapy