国际麻醉学与复苏杂志   2025, Issue (3): 0-0
    
超声容量评估指标预测麻醉后低血压的研究进展
贺洪瀛, 张益1()
1.遵义医科大学第二附属医院
Research progress on the prediction of hypotension after anesthesia by ultrasound volume assessment index
 全文:
摘要:

围手术期维持血流动力学稳定是麻醉科医师最重要任务之一。麻醉后低血压是临床麻醉中常见的问题,且可能导致严重的并发症。因此,麻醉前对患者进行术前容量状态评估,并作出预防性的措施,对麻醉安全性具有重要意义。近年来,超声容量评估指标可准确评估患者术前容量状态已得到越来越多的证实,该文对颈动脉校正血流时间及峰值流速变异率、下腔静脉塌陷指数、颈内静脉呼吸变异度此三种超声容量评估指标在麻醉后低血压预测作用的研究进行综述,帮助麻醉科医师在术前进行准确的容量状态评估,且为相关患者的临床监测和治疗提供指导。

关键词: 超声;容量评估;颈动脉校正血流时间;峰值流速变异率;下腔静脉塌陷指数;颈内静脉呼吸变异度;麻醉后低血压
Abstract:

Maintaining hemodynamic stability is one of the most critical tasks for anesthesiologists during the perioperative period. Post-anesthesia hypotension is a common problem in clinical anesthesia and may lead to serious complications. Therefore, preoperative assessment of patient volume status and preventive measures before anesthesia have great significance for anesthesia safety. In recent years, it has been increasingly confirmed that ultrasound volume assessment index can accurately evaluate the preoperative volume status of patients. This article reviews researchs on the predictive effects of three ultrasound volume assessment indexs, namely carotid artery corrected blood flow time and respirophasic variation in blood flow peak velocity, collapsibility index of inferior vena cava, and variability internal jugular vein on postoperative hypotension, which helps anesthesiologists to accurately evaluate the volume status before surgery, and provide guidance for clinical monitoring and treatment of relevant patients.

Key words: Ultrasonic; Capacity assessment; Carotid artery corrected blood flow time; Respirophasic variation in blood flow peak velocity; Collapsibility index of inferior vena cava; Variability internal jugular vein; Post-anesthesia hypotension