PDF(Pubmed)
Abstract：
UNASSIGNED: Monitoring of intraoperative blood pressure (BP) is essential. We aimed to compare BP values simultaneously recorded by invasive and noninvasive methods under general anesthesia (GA) during normotension, hypertension, and hypotension. Mean arterial pressure (MAP) values calculated by the automated technique were also compared to the values obtained using predefined formula.
UNASSIGNED: An observational, prospective study was conducted in 250 adult patients undergoing elective surgeries under GA. Before induction, noninvasive blood pressure (NIBP) was measured in the arm in a supine position using an automated oscillometer. Radial artery in the opposite arm was cannulated. NIBP and arterial BP (ABP) were recorded simultaneously during normotension, hypotension, and hypertension.
UNASSIGNED: During normotension and hypertension, systolic BP (SBP) measured by NIBP and ABP were comparable. Diastolic BP (DBP) and MAP during normotension were significantly higher with NIBP (73.65 ± 7.73 vs. 65.69 ± 8.39 and 87.79 ± 8.43 vs. 84.24 ± 8.82, respectively). During hypertension, DBP and MAP were significantly higher with NIBP (90.44 ± 11.61 vs. 78.59 ± 11.09 and 111.67 ± 10.43 vs. 105.63 ± 11.06, respectively). During hypotension, SBP was significantly higher in ABP (91.14 ± 6.90 vs. 86.24 ± 6.06), and DBP and MAP were comparable. Comparison of MAP measured by ABP and NIBP techniques with the MAP calculated using predefined formula in normotension showed significantly higher values with the automated technique.
UNASSIGNED: During normotension and hypertension, DBP and MAP showed significantly higher values with the NIBP technique compared to ABP, with comparable SBP values. During hypotension, SBP showed significantly higher values with the ABP technique, with comparable DBP and MAP. MAP obtained using predefined formula and automated method in normotension was significantly higher with the automated technique.
UNASSIGNED: An observational, prospective study was conducted in 250 adult patients undergoing elective surgeries under GA. Before induction, noninvasive blood pressure (NIBP) was measured in the arm in a supine position using an automated oscillometer. Radial artery in the opposite arm was cannulated. NIBP and arterial BP (ABP) were recorded simultaneously during normotension, hypotension, and hypertension.
UNASSIGNED: During normotension and hypertension, systolic BP (SBP) measured by NIBP and ABP were comparable. Diastolic BP (DBP) and MAP during normotension were significantly higher with NIBP (73.65 ± 7.73 vs. 65.69 ± 8.39 and 87.79 ± 8.43 vs. 84.24 ± 8.82, respectively). During hypertension, DBP and MAP were significantly higher with NIBP (90.44 ± 11.61 vs. 78.59 ± 11.09 and 111.67 ± 10.43 vs. 105.63 ± 11.06, respectively). During hypotension, SBP was significantly higher in ABP (91.14 ± 6.90 vs. 86.24 ± 6.06), and DBP and MAP were comparable. Comparison of MAP measured by ABP and NIBP techniques with the MAP calculated using predefined formula in normotension showed significantly higher values with the automated technique.
UNASSIGNED: During normotension and hypertension, DBP and MAP showed significantly higher values with the NIBP technique compared to ABP, with comparable SBP values. During hypotension, SBP showed significantly higher values with the ABP technique, with comparable DBP and MAP. MAP obtained using predefined formula and automated method in normotension was significantly higher with the automated technique.
摘要：
■监测术中血压（BP）至关重要。我们的目的是比较全身麻醉（GA）在正常血压期间通过侵入性和非侵入性方法同时记录的BP值，高血压,和低血压。还将通过自动化技术计算的平均动脉压(MAP)值与使用预定义公式获得的值进行比较。
■观测，前瞻性研究是在GA下接受择期手术的250例成年患者中进行的。诱导前,使用自动振荡器在仰卧位的手臂中测量无创血压(NIBP).对臂桡动脉插管。血压正常时同时记录NIBP和动脉血压(ABP),低血压,和高血压。
■在正常血压和高血压期间，NIBP和ABP测量的收缩压（SBP）具有可比性。NIBP患者血压正常时舒张压（DBP）和MAP明显升高（73.65±7.73vs.65.69±8.39和87.79±8.43vs.分别为84.24±8.82）。在高血压期间，DBP和MAP明显高于NIBP（90.44±11.61vs.78.59±11.09和111.67±10.43vs.分别为105.63±11.06）。在低血压期间，ABP患者的SBP明显高于ABP（91.14±6.90vs.86.24±6.06),DBP和MAP具有可比性。通过ABP和NIBP技术测量的MAP与使用预定义公式在常压下计算的MAP的比较显示，自动化技术的值明显更高。
■在正常血压和高血压期间，与ABP相比，NIBP技术的DBP和MAP显示出明显更高的值，具有可比的SBP值。在低血压期间，使用ABP技术，SBP显示出明显更高的值，具有可比性的DBP和MAP。使用预定义公式和自动化方法在常压下获得的MAP明显高于自动化技术。
■观测，前瞻性研究是在GA下接受择期手术的250例成年患者中进行的。诱导前,使用自动振荡器在仰卧位的手臂中测量无创血压(NIBP).对臂桡动脉插管。血压正常时同时记录NIBP和动脉血压(ABP),低血压,和高血压。
■在正常血压和高血压期间，NIBP和ABP测量的收缩压（SBP）具有可比性。NIBP患者血压正常时舒张压（DBP）和MAP明显升高（73.65±7.73vs.65.69±8.39和87.79±8.43vs.分别为84.24±8.82）。在高血压期间，DBP和MAP明显高于NIBP（90.44±11.61vs.78.59±11.09和111.67±10.43vs.分别为105.63±11.06）。在低血压期间，ABP患者的SBP明显高于ABP（91.14±6.90vs.86.24±6.06),DBP和MAP具有可比性。通过ABP和NIBP技术测量的MAP与使用预定义公式在常压下计算的MAP的比较显示，自动化技术的值明显更高。
■在正常血压和高血压期间，与ABP相比，NIBP技术的DBP和MAP显示出明显更高的值，具有可比的SBP值。在低血压期间，使用ABP技术，SBP显示出明显更高的值，具有可比性的DBP和MAP。使用预定义公式和自动化方法在常压下获得的MAP明显高于自动化技术。
