有创动脉监测在危重患者手术麻醉中的应用观察  

Application Observation of Invasive Artery Monitoring During Surgical Anesthesia of Critically Ill Patients

作　　者：杜庆菊[1] Du Qing-ju(Department of Anesthesia,Guizhou Aerospace Hospital,Zunyi 563000,Guizhou Province,China)

机构地区：[1]贵州航天医院麻醉科,贵州遵义563000

出　　处：《中国社区医师》2022年第4期98-100,共3页Chinese Community Doctors

摘　　要：目的:研究危重患者手术麻醉中应用有创动脉监测的临床价值。方法:选择30例危重手术患者,均在术中实施有创动脉监测,观察生命体征水平变化情况。结果:30例患者监测前心率、舒张压、收缩压、血糖、动脉血氧、血钾、血红蛋白与监测后各指标水平比较,差异有统计学意义(P<0.05)。所有患者未发生动脉穿刺相关并发症,均顺利完成手术,手术成功率达100%。术中存在危险征象患者在有创动脉监测下进行临床干预均维持有效循环血压,调整麻醉深度保障血流动力学处于基本稳定状态。结论:有创动脉监测可为危重患者手术麻醉过程中血流动力学的不稳定状态提供参考依据,继而在有效监护下提升手术麻醉安全性。Objective: To study the clinical value of invasive artery monitoring during surgical anesthesia in critically ill patients.Methods: Thirty critically ill patients receiving the operation were selected for intraoperative invasive artery monitoring, and the changes of vital signs were observed. Results: There were statistically significant differences in the following parameters before monitoring and after monitoring: heart rate, diastolic blood pressure, systolic blood pressure, blood glucose, arterial blood oxygen,K, hemoglobin(P<0.05). No complications related to arterial puncture occurred in all patients, and the operation was successfully completed in all patients, with a 100% success rate. Patients with intraoperative risk signs maintained effective circulating blood pressure through appropriate clinical intervention under invasive artery monitoring, and hemodynamics was basically stable through appropriate adjustment of anesthesia depth. Conclusion: Invasive artery monitoring can provide a reference for the hemodynamic instability of critically ill patients during surgical anesthesia, and subsequently improve the safety of surgical anesthesia under effective monitoring.

关 键 词：危重患者 有创动脉监测 血流动力学 

分 类 号：R614[医药卫生—麻醉学]