小儿心脏手术后颈外静脉压与中心静脉压相关性研究  

A Correlation Study on External Jugular Venous Pressure and Central Venous Pressure after Pediatric Cardiac Surgical Procedures

作　　者：张同军[1] 孙学飞[1] 靳红绪[1] 徐志杰[1] 王福朝[1] 刘连厂[1] 王忠义[1] 

机构地区：[1]河北医科大学附属哈励逊国际和平医院麻醉科,河北衡水053000

出　　处：《解放军医药杂志》2014年第2期62-64,共3页Medical & Pharmaceutical Journal of Chinese People’s Liberation Army

基　　金：衡水市科技支撑计划项目(12009A)

摘　　要：目的探讨小儿心脏手术后颈外静脉压(EJVP)和中心静脉压(CVP)的相关性。方法选择行心脏手术的患儿16例,在术后10 h内同时测量EJVP与CVP,每小时记录EJVP和CVP数据1次。对EJVP和CVP变量间行线性相关分析和回归分析。结果 CVP和EJVP的整体平均差异为(1.48±0.98)mmHg。EJVP和CVP变量间行直线相关分析显示呈显著正相关(r=0.929,P<0.01),直线回归方程描述为CVP=EJVP×0.932+0.032。结论 EJVP获得简单、经济、创伤小,与CVP相关性良好,可作为小儿心脏手术后CVP的有效替代。Objective To discuss the correlation between external jugular venous pressure（EJVP）and central venous pressure（CVP） after pediatric cardiac surgical procedures. Methods Data of EJVP and CVP of 16 children, who underwent cardiac surgical procedures, was measured simultaneously within postoperative 10 hours, and the data of EJVP and CVP was recorded every hour. The statistical variables between EJVP data and CVP data were analyzed by linear cor- relation analysis and regression analysis. Results The total mean difference between EJVP data and CVP data was （ 1.48 ± 0.98） mmHg. The variables between EJVP and CVP were significantly correlated by means of linear correlation analysis （ r = 0. 929 , P 〈 0. 01 ）, and the linear regression equation showed that CVP = EJVP x 0. 932± 0. 032. Conclu- sion EJVP can be obtained in a simple, inexpensive and less invasive way, which has significant correlation with CVP, and it is an effective alternative method to CVP after pediatric cardiac surgical procedures.

关 键 词：中心静脉压 颈外静脉压 相关性 儿童 心脏外科手术 

分 类 号：R472[医药卫生—护理学]