中国医师进修杂志
中國醫師進脩雜誌
중국의사진수잡지
CHINESE JOURNAL OF POSTGRADUATES OF MEDICINE
2015年
4期
243-246
,共4页
医院,骨科%血压%桡动脉%有创%侧卧位
醫院,骨科%血壓%橈動脈%有創%側臥位
의원,골과%혈압%뇨동맥%유창%측와위
Hospitals,osteopathic%Blood pressure%Radial artery%Invasive%Lateral position
目的 探讨髋关节置换术患者不同体位下双侧桡动脉有创血压的差异及其与体位的关系.方法 66例于侧卧位行髋关节置换术的骨科患者,麻醉诱导前后及术中同步测量双侧桡动脉有创血压,每隔5 min记录一次,选取动脉波形正常的数值,分别对收缩压、舒张压及平均动脉压进行分析.结果 平卧位时,健侧桡动脉收缩压为(128.16±20.09) mmHg(1 mmHg=0.133 kPa),舒张压为(69.47±8.64) mmHg,平均动脉压为(89.03 ± 10.42) mmHg;患侧桡动脉收缩压为(127.90±20.44) mmHg,舒张压为(69.86±8.81) mmHg,平均动脉压为(89.21±10.71)mmHg,双侧舒张压比较差异有统计学意义(P＜0.05),收缩压及平均动脉压比较差异无统计学意义(P＞0.05);左侧卧位时,健侧桡动脉收缩压为(129.12±21.93) mmHg,舒张压为(69.23±8.92) mmHg,平均动脉压为(89.19±11.35) mmHg;患侧桡动脉收缩压为(129.01±21.72) mmHg,舒张压为(69.51±9.02)mmHg,平均动脉压为(89.34±11.35) mmHg,双侧舒张压比较差异有统计学意义(P＜0.05),收缩压及平均动脉压比较差异无统计学意义(P＞0.05);右侧卧位时,健侧桡动脉收缩压为(128.78±20.34)mmHg,舒张压为(69.54±9.06) mmHg,平均动脉压为(89.29±10.82) mmHg;患侧桡动脉收缩压为(128.27±20.56) mmHg,舒张压为(70.00±9.09) mmHg,平均动脉压为(89.43±10.89) mmHg,双侧收缩压及舒张压比较差异有统计学意义(P＜0.05),平均动脉压比较差异无统计学意义(P＞0.05);不同体位下双侧桡动脉血压差值均＜1 mmHg,无临床实际意义,且与性别、年龄、体质量指数无关.结论 同一患者双侧桡动脉有创血压无临床差异,侧卧位手术的患者进行桡动脉穿刺测压时,无需考虑臂间血压的差异.
目的 探討髖關節置換術患者不同體位下雙側橈動脈有創血壓的差異及其與體位的關繫.方法 66例于側臥位行髖關節置換術的骨科患者,痳醉誘導前後及術中同步測量雙側橈動脈有創血壓,每隔5 min記錄一次,選取動脈波形正常的數值,分彆對收縮壓、舒張壓及平均動脈壓進行分析.結果 平臥位時,健側橈動脈收縮壓為(128.16±20.09) mmHg(1 mmHg=0.133 kPa),舒張壓為(69.47±8.64) mmHg,平均動脈壓為(89.03 ± 10.42) mmHg;患側橈動脈收縮壓為(127.90±20.44) mmHg,舒張壓為(69.86±8.81) mmHg,平均動脈壓為(89.21±10.71)mmHg,雙側舒張壓比較差異有統計學意義(P＜0.05),收縮壓及平均動脈壓比較差異無統計學意義(P＞0.05);左側臥位時,健側橈動脈收縮壓為(129.12±21.93) mmHg,舒張壓為(69.23±8.92) mmHg,平均動脈壓為(89.19±11.35) mmHg;患側橈動脈收縮壓為(129.01±21.72) mmHg,舒張壓為(69.51±9.02)mmHg,平均動脈壓為(89.34±11.35) mmHg,雙側舒張壓比較差異有統計學意義(P＜0.05),收縮壓及平均動脈壓比較差異無統計學意義(P＞0.05);右側臥位時,健側橈動脈收縮壓為(128.78±20.34)mmHg,舒張壓為(69.54±9.06) mmHg,平均動脈壓為(89.29±10.82) mmHg;患側橈動脈收縮壓為(128.27±20.56) mmHg,舒張壓為(70.00±9.09) mmHg,平均動脈壓為(89.43±10.89) mmHg,雙側收縮壓及舒張壓比較差異有統計學意義(P＜0.05),平均動脈壓比較差異無統計學意義(P＞0.05);不同體位下雙側橈動脈血壓差值均＜1 mmHg,無臨床實際意義,且與性彆、年齡、體質量指數無關.結論 同一患者雙側橈動脈有創血壓無臨床差異,側臥位手術的患者進行橈動脈穿刺測壓時,無需攷慮臂間血壓的差異.
목적 탐토관관절치환술환자불동체위하쌍측뇨동맥유창혈압적차이급기여체위적관계.방법 66례우측와위행관관절치환술적골과환자,마취유도전후급술중동보측량쌍측뇨동맥유창혈압,매격5 min기록일차,선취동맥파형정상적수치,분별대수축압、서장압급평균동맥압진행분석.결과 평와위시,건측뇨동맥수축압위(128.16±20.09) mmHg(1 mmHg=0.133 kPa),서장압위(69.47±8.64) mmHg,평균동맥압위(89.03 ± 10.42) mmHg;환측뇨동맥수축압위(127.90±20.44) mmHg,서장압위(69.86±8.81) mmHg,평균동맥압위(89.21±10.71)mmHg,쌍측서장압비교차이유통계학의의(P＜0.05),수축압급평균동맥압비교차이무통계학의의(P＞0.05);좌측와위시,건측뇨동맥수축압위(129.12±21.93) mmHg,서장압위(69.23±8.92) mmHg,평균동맥압위(89.19±11.35) mmHg;환측뇨동맥수축압위(129.01±21.72) mmHg,서장압위(69.51±9.02)mmHg,평균동맥압위(89.34±11.35) mmHg,쌍측서장압비교차이유통계학의의(P＜0.05),수축압급평균동맥압비교차이무통계학의의(P＞0.05);우측와위시,건측뇨동맥수축압위(128.78±20.34)mmHg,서장압위(69.54±9.06) mmHg,평균동맥압위(89.29±10.82) mmHg;환측뇨동맥수축압위(128.27±20.56) mmHg,서장압위(70.00±9.09) mmHg,평균동맥압위(89.43±10.89) mmHg,쌍측수축압급서장압비교차이유통계학의의(P＜0.05),평균동맥압비교차이무통계학의의(P＞0.05);불동체위하쌍측뇨동맥혈압차치균＜1 mmHg,무림상실제의의,차여성별、년령、체질량지수무관.결론 동일환자쌍측뇨동맥유창혈압무림상차이,측와위수술적환자진행뇨동맥천자측압시,무수고필비간혈압적차이.
Objective To investigate the inter-arm invasive blood pressure differences during hip replacement in patients with lateral position and its relationship with position.Methods Sixty-six patients having underwent hip replacement in orthopedic surgery with lateral position were enrolled.Invasive blood pressure measurements were obtained from bilateral radial artery in all patients every 5 minutes.Simultaneously bilateral invasive blood pressure measurements were obtained and compared.Results At supine position,systolic pressure,diastolic pressure and mean arterial pressure of the uninjured side were (128.16 ±20.09),(69.47 ± 8.64) and (89.03 ± 10.42) mmHg (1 mmHg =0.133 kPa);systolic pressure,diastolic pressure and mean arterial pressure of the injured side were (127.90 ± 20.44),(69.86 ± 8.81) and (89.21 ± 10.71) mmHg.There was statistical difference in inter-arm diastolic pressure (P ＜ 0.05),but inter-arm systolic pressure and mean arterial pressure had no statistical differences (P ＞ 0.05).At left-lateral position,systolic pressure,diastolic pressure and mean arterial pressure of the uninjured side were (129.12 ± 21.93),(69.23 ± 8.92) and (89.19 ± 11.35) mmHg;systolic pressure,diastolic pressure and mean arterial pressure of the injured side were (129.01 ± 21.72),(69.51 ± 9.02) and (89.34 ± 11.35) mmHg.There was statistical difference in inter-arm diastolic pressure (P ＜ 0.05),but inter-arm systolic pressure and mean arterial pressure had no statistical differences (P ＞ 0.05).At right-lateral position,systolic pressure,diastolic pressure and mean arterial pressure of the uninjured side were (128.78 ± 20.34),(69.54 ± 9.06) and (89.29 ± 10.82) mmHg;systolic pressure,diastolic pressure and mean arterial pressure of the injured side were (128.27 ± 20.56),(70.00 ± 9.09) and (89.43 ± 10.89) mmHg.There were statistical differences in inter-arm systolic pressure and diastolic pressure (P ＜ 0.05),but inter-arm mean arterial pressure had no statistical difference (P ＞ 0.05).The bilateral radial artery blood pressure difference under different positions was ＜ 1 mmHg,and had no clinical practical significance.There was no correlation between blood pressure and age,sex,body mass index.Conclusion Bilateral radial artery in the same patients with invasive blood pressure has no clinical difference,and patients with lateral position operation for radial artery puncture pressure need not consider the differences of blood pressure between arms.
