有创动脉监测在危急重症患者手术麻醉诱导前的应用研究

Study on the Application of Invasive Arterial Monitoring before Anesthesia Induction in Critically Ill Patients

目的:评估有创动脉监测技术在危急重症患者手术麻醉诱导前的应用效果。方法:选择2021年6月—2023年12月鹰潭市人民医院收治的84例危急重症患者作为研究对象。使用随机数字表法分为两组,各42例。所有患者均在本院接受手术治疗,对照组采取常规手术麻醉程序,而观察组则在手术麻醉诱导前采用有创动脉监测。比较两组麻醉前(T_(0))、麻醉诱导时(T_(1))、手术开始时(T_(2))、手术结束时(T_(3))及术后30 min(T_(4))的生命体征(心率、血压)、手术结果及并发症发生率。结果:T_(2)、T_(3)、T_(4),观察组心率均低于对照组,差异均有统计学意义(P<0.05)。T_(1)、T_(2)、T_(3),观察组收缩压均高于对照组,差异均有统计学意义(P<0.05)。T_(1)、T_(2)、T_(3)、T_(4),观察组舒张压均高于对照组,差异均有统计学意义(P<0.05)。观察组手术成功率高于对照组,死亡率及并发症发生率均低于对照组,差异均有统计学意义(P<0.05)。结论:危急重症患者手术麻醉诱导前应用有创动脉监测可以有效提升手术安全性和成功率,降低患者并发症发生率,对于提高手术质量和患者安全具有重要意义。

Objective:To evaluate the effect of invasive arterial monitoring before anesthesia induction in critically ill patients.Method:A total of 84 critically ill patients admitted to Yingtan City People's Hospital from June 2021 to December 2023 were selected as the study objects.They were divided into two groups using a random number table,with 42 patients in each group.All patients underwent surgical treatment in our hospital.The control group received conventional surgical anesthesia,while the observation group received invasive arterial monitoring before induction of surgical anesthesia.The vital signs(heart rate,blood pressure)before anesthesia(T_(0)),during anesthesia induction(T_(1)),at the beginning of surgery(T_(2)),at the end of surgery(T_(3))and 30 minutes after surgery(T_(4)),operative results and complication rate of the two groups were compared.Result:T_(2),T_(3),T_(4),the heart rate of the observation group were lower than those of the control group,the differences were statistically significant(P<0.05).T_(1),T_(2),T_(3),the systolic blood pressure in the observation group were higher than those in the control group,the differences were statistically significant(P<0.05).T_(1),T_(2),T_(3),T_(4),the diastolic blood pressure in the observation group were higher than those in the control group,the differences were statistically significant(P<0.05).The success rate of surgery in the observation group was higher than that in the control group,the mortality rate and complication rate were significantly lower than those in the control group,the differences were statistically significant(P<0.05).Conclusion:The application of invasive arterial monitoring before anesthesia induction in critically ill patients can effectively improve the safety and success rate of surgery and reduce the incidence of complications,which is of great significance for improving the quality of surgery and patient's safety.