杨超 林君卿 翁晓丽 任宇虹 李春平 薛贻敏 郑永红

    【摘要】 目的：探讨每搏连续无创血压(continuous noninvasive arterial pressure，CNAP)监测系统在心脏瓣膜术后低心排血量综合征(low cardiac output syndrome，LCOS)监测中的应用价值。方法：选取福建省立医院2020年4月-2022年4月心脏瓣膜术后合并LCOS患者76例。随机将其分为对照组(n=44)和CNAP组(n=32)。对照组给予常规治疗，CNAP组给予CNAP指导治疗。比较两组瑞芬太尼、丙泊酚、多巴酚丁胺和去甲肾上腺素总用量，ICU住院时间，有创机械通气时间，液体平衡总量。结果：两组瑞芬太尼、丙泊酚总用量、ICU住院时间、有创机械通气时间比较，差异均无统计学意义(P>0.05)。CNAP组多巴酚丁胺总用量、去甲腎上腺素总用量、液体平衡总量均小于对照组，差异均有统计学意义(P<0.05)。结论：应用CNAP指导心脏瓣膜术后LCOS患者的治疗能够优化此类患者术后的血流动力学管理。

    【关键词】 每搏连续无创血压监测系统 低心排血量综合征 心脏瓣膜手术

    Application of Continuous Noninvasive Arterial Pressure Monitoring System in Monitoring Low Cardiac Output Syndrome after Cardiac Valve Surgery/YANG Chao， LIN Junqing， WENG Xiaoli， REN Yuhong， LI Chunping， XUE Yimin， ZHENG Yonghong. //Medical Innovation of China， 2023， 20(09)： 0-053

    [Abstract] Objective： To investigate the value of continuous noninvasive arterial pressure (CNAP) monitoring system in monitoring low cardiac output syndrome (LCOS) after heart valve surgery. Method： The clinical data of 76 patients with combined LCOS after heart valve surgery in Fujian Provincial Hospital from April 2020 to April 2022 were analyzed. The patients were randomly divided into control group (n=44) and CNAP group (n=32). The control group was treated with conventional treatment ......