FloTrac／VigileoTM系麻醉管理统用于重度妊高症剖宫产术的  

Anesthetic management of patients with severe pregnancy 4nduced hypertension during cesarean section using the FloTrac/ Vigileo^TMsystem

作　　者：王金保[1] 王姝媛[1] 孙莉[2] 

机构地区：[1]白求恩国际和平医院麻醉科,石家庄050082 [2]白求恩国际和平医院妇产科

出　　处：《国际麻醉学与复苏杂志》2011年第4期409-411,共3页International Journal of Anesthesiology and Resuscitation

摘　　要：目的评价FloTrac／VigileoTM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／VigileoTM系统监测，分别在人室、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（MAP）、心率（HR）、心排血量（cardiacoutput，CO）、心脏指数（cardiacindex，CI）、每搏量（strokevolume，SV）、每搏量变异度（strokevolumevariation，SVV）、每搏指数（strokevolumeindex，SVI）等指标。结果与术前相比，术中各时间点血流动力学指标变化差异无统计学意义，其中CO波动在3．5Umin。8．0Umin之间，CI波动在2L·min-1·m-2-L·min-1·m-2之间。结论FloTrac／VigileoTM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。Objective To evaluate the application of the FloTrac/VigileoTM system to the patients with severe pregnancy- induced hypertension undergoing cesarean section. Methods Twenty-,seven patients with severe pregnancy-induced hypertension scheduled for cesarean section 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 peritoneal cavity, the end of operation. Results There were no significant differences in the hemodynamic indexes between preoperation and other time points.. In this study, the CO of patient varied in the range of 3.5 L/min-8.0 L/min, and CI in the range of 2 L·min-1·m-2-4 L·min-1·m-2. Conclusion The FloTrac/VigileoTM system can show the changes of cardiac function in time during operation, which is a safe, reliable monitor for hemodynamic monitoring during cesarean section of patients with severe pregnancy-induced hypertension.

关 键 词：心排血量 监测 麻醉管理 

分 类 号：R614[医药卫生—麻醉学]