全身麻醉诱导后低血压预测指标的研究进展  

Research progress on predictors of hypotension after induction of general anesthesia

作　　者：吴秋荣 王彬[1] WU Qiurong;WANG Bin(Department of Anesthesiology,the First Affiliated Hospital of Chongqing Medical University,Chongqing 400016,China)

机构地区：[1]重庆医科大学附属第一医院麻醉科,400016

出　　处：《临床麻醉学杂志》2023年第12期1318-1322,共5页Journal of Clinical Anesthesiology

基　　金：重庆市自然科学基金(CSTB2022NSCQ-MSX0061)。

摘　　要：全身麻醉诱导后低血压(PIH)在临床麻醉工作中十分常见。使用静脉麻醉药物后,患者心输出量减少、全身血管阻力降低,导致PIH。PIH与术后心肌损伤、肾损伤、脑卒中、住院时间延长甚至死亡等不良术后结局相关。因此,预测PIH并采取相应预防措施将会改善患者预后,然而有效预测PIH的方式目前仍存在争议。本文就PIH预测指标的研究进展进行综述,为临床识别高危患者、改善PIH、减少不良术后结局提供参考。Post-induction hypotension(PIH)is very common in clinical anesthesia after induction of general anesthesia.Intravenous anesthetic drugs could decrease cardiac output and systemic vascular resistance and then lead to PIH.PIH is associated with adverse postoperative outcomes such as myocardial injury,renal injury,stroke,prolonged hospital stays,and even death.Therefore,predicting PIH and taking corresponding preventive measures will improve the prognosis of patients.However,the effective way to predict PIH is still controversial.This article reviews the research progress of PIH predictors in order to provide a reference for the clinical identification of high-risk patients,improvement of PIH,and reduction of adverse postoperative outcomes.

关 键 词：全身麻醉 诱导 低血压 预测 

分 类 号：R614[医药卫生—麻醉学]