有创血压与无创血压准确性的评价以及对治疗的影响

The accuracy evaluation of invasive and noninvasive blood pressure monitoring and its influence on clinical use

背景血压监测在麻醉诱导期至关重要，准确及时地监测血压对指导麻醉期间用药和保障患者的安全具有重要意义。在临床中同一患者的有创血压（invasive blood pressure，IBP）值和无创血压（non-illvasive blood preSSUre，NIBP）值存在一定差异。目的就不同患者IBP及NIBP值的差异以及对治疗的影响作一综述。内容当患者血压较高时IBP值高于NIBP值，血压较低时IBP值低于NIBP值，使用NIBP和IBP同时监测能降低患者围手术期血管活性药物以及血液制品的使用率。趋向围手术期同时使用NIBP和IBP监测，可以帮助我们得到更可靠的血流动力学信息，及时发现病情变化，做出准确及时的处理。

Background Blood pressure monitoring is a part of the standard of care for anesthesia induction, which is also very important for the guidance of clinical medication and the safety of patients. Objective This review summarizes the difference between non-invasive blood pressure （NIBP） and invasive blood pressure （IBP） of different patients and its influence on clinical application. Content Compared with IBP, NIBP is likely to be higher than IBP at lower pressure, and lower than IBP at higher pressures. Concomitant use of NIBP with IBP is associated with decreased use of transfusion, vasopressors, and antihypertensives compared with the use of IBP alone. Trend Compared with the use of IBP t alone, the use of NIBP monitoring to supplement IBP measurement is usually associated with getting more reliable hemodynamic information and dealing with relevant problem in a more timely manner.