文章摘要
王新宴,张海涛,陈雪涛,黄翠莹,张莎莎.中心动脉压无创与有创检测结果的比较[J].中国临床保健杂志,2020,23(6):774-776.
中心动脉压无创与有创检测结果的比较
Comparative analysis of noninvasive central arterial blood pressure and invasive central arterial blood pressure
投稿时间:2020-05-16  
DOI:10.3969/J.issn.1672-6790.2020.06.012
中文关键词: 动脉压  血压监测  诊断技术,心血管
英文关键词: Arterial pressure  Blood pressure monitoring  Diagnostic techniques,cardiovascular 〖FL
基金项目:科技部基础性工作项目(2013FY114000)
作者单位E-mail
王新宴 中国人民解放军空军特色医学中心,心内科,北京 100142 wxy61092@163.com 
张海涛 中国人民解放军空军特色医学中心,心内科,北京 100142  
陈雪涛 中国人民解放军空军特色医学中心神经内科,北京 100142  
黄翠莹 中国人民解放军空军特色医学中心,心内科,北京 100142  
张莎莎 中国人民解放军空军特色医学中心,心内科,北京 100142  
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中文摘要:
      目的 比较目前常用无创中心动脉血压检测设备Sphygmocor与有创方法测量中心动脉血压结果的一致性,并探讨中心动脉血压与外周肱动脉血压间的关系。方法 选择空军特色医学中心拟行冠状动脉造影的患者51例,采集并记录患者的一般资料,于导管进入前分别采用水银血压计和无创中心动脉血压检测设备Sphygmocor测量并记录肱动脉收缩压(SP)、肱动脉舒张压(DP)、无创中心动脉收缩压(NCSBP)、无创中心动脉舒张压(NCDBP),于导管进入时测量并记录有创中心动脉收缩压(ICSBP)、有创中心动脉舒张压(ICDBP)。结果 (1)ICSBP与NCSBP间呈正相关性,相关系数为0.721,差异有统计学意义(P<0.01);(2)ICDBP与NCDBP间呈正相关性,相关系数为0.756,差异有统计学意义(P<0.01);(3)ICSBP与NCSBP间差异有统计学意义(P<0.01),且显示为ICSBP高于NCSBP;(4)ICDBP与NCDBP间差异无统计学意义(P>0.05);(5)肱动脉SP与NCSBP间呈正相关性,相关系数为0.930,差异有统计学意义(P<0.01);(6)肱动脉SP与NCSBP间差异有统计学意义(P<0.01),且显示为肱动脉SP高于NCSBP。结论 NCSBP可以反映ICSBP的变化趋势;肱动脉SP在数值上不能直接替代NCSBP,但肱动脉SP的变化趋势可以反映NCSBP的变化趋势;NCDBP可以替代ICDBP。
英文摘要:
      Objective To compare the consistency of noninvasive central arterial blood pressure measurement using Sphygmocor and invasive method,and explore the relationship between central arterial blood pressure and peripheral brachial artery blood pressure.Methods A total of 51 patients were selected for coronary angiography in air Force Characteristic Medical Center and general information of patients was collected and recorded.Brachial systolic blood pressure (SP) and brachial diastolic blood pressure (DP) were measured and recorded using a mercury Sphygmocor and a noninvasive central arterial diastolic blood pressure (NCDBP) before catheter entry.Invasive central arterial systolic blood pressure (ICSBP) and invasive central arterial diastolic pressure (ICDBP) were measured and recorded at the time of catheter entry.Results (1) There was a positive correlation between the ICSBP and the NCSBP,the correlation coefficient was 0.721,and the difference was statistically significant (P<0.01);(2) The ICDBP had a positive correlation with NCDBP,the correlation coefficient is 0.756,and the difference was statistically significant (P<0.01);(3) The difference between ICSBP and NCSBP was statistically significant (P<0.01),and the ICSBP was higher than the NCSBP;(4) There was no statistically significant difference between NCDBP and ICDBP(P>0.05);(5) There was a positive correlation between brachial artery SP and noninvasive central artery systolic pressure (NCSBP),the correlation coefficient was 0.930,with statistically significant (P<0.01);(6) The difference between brachial artery SP and NCSBP was statistically significant (P<0.01),and brachial artery.SP was higher than the NCSBP.Conclusion The NCSBP can reflect the ICSBP trends,Brachial artery SP can't directly replace NCSBP in value,but can reflect the NCSBP trends.NCDBP can replace ICDBP.
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