[1]钟子佩,程云章,曹阳,等.动脉压力波形分析在麻醉诱导期的应用[J].中国医学物理学杂志,2022,39(3):364-370.[doi:DOI:10.3969/j.issn.1005-202X.2022.03.017]
　ZHONG Zipei,CHENG Yunzhang,CAO Yang,et al.Application of arterial pressure waveform analysis in anesthesia induction period[J].Chinese Journal of Medical Physics,2022,39(3):364-370.[doi:DOI:10.3969/j.issn.1005-202X.2022.03.017]
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动脉压力波形分析在麻醉诱导期的应用()
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《中国医学物理学杂志》[ISSN:1005-202X/CN:44-1351/R]

卷:
39卷
期数:
2022年第3期
页码:
364-370
栏目:
医学信号处理与医学仪器
出版日期:
2022-03-28

文章信息/Info

Title:
Application of arterial pressure waveform analysis in anesthesia induction period
文章编号:
1005-202X（2022）03-0364-07
作者:
钟子佩1; 程云章1; 曹阳2; 梁冰2
1.上海理工大学上海介入医疗器械工程技术研究中心， 上海 200093； 2.广州市红十字会医院暨南大学医学院第四附属医院麻醉科， 广东 广州 510220
Author(s):
ZHONG Zipei1;  CHENG Yunzhang1;  CAO Yang2;  LIANG Bing2
1. Shanghai Interventional Medical Device Engineering Technology Research Center, University of Shanghai for Science and Technology, Shanghai 200093, China 2. Department of Anesthesiology, Guangzhou Red Cross Hospital, the Fourth Affiliated Hospital of Jinan University, Guangzhou 510220, China
关键词:
全身麻醉; 诱导; 波形分析; 波形分离法; 储存压力波模型
Keywords:
Keywords: general anesthesia induction waveform analysis wave separation analysis arterial reservoir model
分类号:
318
DOI:
DOI:10.3969/j.issn.1005-202X.2022.03.017
文献标志码:
A
摘要:
为探索动脉波形分析方法的临床意义，使用波形分离法与储存压力波模型对采集到的25例进行全麻手术的高龄患者的动脉压力波形进行波形分析，在获得[Pf]、[Pb]以及[Pe]、[Pr]等波形形态参数后，将诱导前后的参数变化量与临床生命指标变化量进行相关性分析。在本文的研究群体中，波形分离法与储存压力波模型的参数均与诱导中的血压和心率变化量有相关性，其中△[Pe]与临床指标△PP相关系数最高（r=0.926）。从生理病理学的角度对波形参数的变化进行解读，旨在探索波形分析在诱导期对全麻患者麻醉水平的应用价值，可为动脉压力波形分析及其应用提供新的理论基础和技术方案。
Abstract:
Abstract: The arterial pressure waveforms of 25 elderly patients undergoing general anesthesia are decomposed by wave separation analysis and arterial reservoir model for clarifying the clinical significance of arterial waveform analysis. After obtaining the waveform parameter[s such as Pf],[ Pb] and [Pe], [Pr], etc., the correlations between the variations of parameters before and after induction and the changes of clinical vital signs are analyzed. The parameters of wave separation analysis and arterial reservoir model are all related to the changes of blood pressure and heart rate during induction, and the correlation coefficient between △[Pe] and clinical index △PP is found to be the highest (r=0.926). In addition, the changes of waveform parameters are interpreted from the perspective of physiological pathology, aiming to explore the application value of waveform analysis in evaluating the anesthesia level during the induction period of general anesthesia, which can provide a new theoretical basis and technical scheme for the analysis of arterial pressure waveform and its application.

相似文献/References:

[1]姚梦夏,周颖,许益萍,等.Insight i53可视喉镜在全身麻醉气管插管中的应用效果[J].中国医学物理学杂志,2021,38(6):759.[doi:DOI:10.3969/j.issn.1005-202X.2021.06.018]
　YAO Mengxia,ZHOU Ying,XU Yiping,et al.Application of Insight i53 video-laryngoscopy in general anesthesia for tracheal intubation[J].Chinese Journal of Medical Physics,2021,38(3):759.[doi:DOI:10.3969/j.issn.1005-202X.2021.06.018]

备注/Memo

备注/Memo:
【收稿日期】2021-10-17 【基金项目】上海工程技术研究中心资助项目（18DZ2250900） 【作者简介】钟子佩，在读硕士研究生，研究方向：血压信号分析，E-mail: 596357251@qq.com
更新日期/Last Update: 2022-03-28