CAJ | 학술논문

为了研究硬膜外麻醉对肾移植受者血流动力学的影响和意义,根据血压高低将肾移植患者分为3组,采用全自动无创血压监测仪测定患者麻醉前、手术平面固定后的基础动脉收缩压(SBP)并进行比较.结果表明,SBP<22.7 kPa(1 kPa=7.5mmHg)者,血压变化不明显;SBP为22.7～25.3 kPa者,5例中有3例血压下降,但下降幅度均<4 kPa;SBP>25.3 kPa者,所有病例均有明显的血压下降.由此认为,肾移植术中硬膜外麻醉对受者循环的影响与其术前的基础血压直接相关,尤以SBP>25.3 kPa时更为明显.
위료연구경막외마취대신이식수자혈류동역학적영향화의의,근거혈압고저장신이식환자분위3조,채용전자동무창혈압감측의측정환자마취전、수술평면고정후적기출동맥수축압(SBP)병진행비교.결과표명,SBP<22.7 kPa(1 kPa=7.5mmHg)자,혈압변화불명현;SBP위22.7～25.3 kPa자,5례중유3례혈압하강,단하강폭도균<4 kPa;SBP>25.3 kPa자,소유병례균유명현적혈압하강.유차인위,신이식술중경막외마취대수자순배적영향여기술전적기출혈압직접상관,우이SBP>25.3 kPa시경위명현.
In order to study the effects of epidural anesthesia on hemodynamics in renal trans-plantation,18 patients with different blood pressure were divided into 3 groups.Systolic blood pressure(SBP)was measured by non-invasive automatic tonometer before and after anesthesia.No obvious change in SBP was found in patients with SBP<22.7 kPa:a mild SBP decrease(<4kPa)was noted in patients with SBP ranging between 22.7～25.3 kPa and an obvious SBP decrease was found in all the patients with SBP>25.3 kPa.Our results suggested that the hemo-dynamics in renal transplantation patients was closely related to the basic SBP,especially when SBP was greater than 25.3 kPa.