超声测量下腔静脉塌陷指数预测产妇脊椎麻醉后仰卧位低血压综合征发生的价值
R730.4; 目的:产前应用超声测量不同体位时产妇的下腔静脉塌陷指数(inferior vena cava collapse index,IVC-CI),探究其在预测脊椎麻醉后仰卧位低血压综合征(supine hypotension syndrome,SHS)中的应用价值.方法:剖宫产手术前,分别在产妇左侧卧位及平卧位时,采用超声测量下腔静脉呼气末最大直径(inferior vena cava maximal diameter during quiet expiration,IVCe)、下腔静脉吸气末最小直径(inferior vena cava minimal diameter durin...
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| description | R730.4; 目的:产前应用超声测量不同体位时产妇的下腔静脉塌陷指数(inferior vena cava collapse index,IVC-CI),探究其在预测脊椎麻醉后仰卧位低血压综合征(supine hypotension syndrome,SHS)中的应用价值.方法:剖宫产手术前,分别在产妇左侧卧位及平卧位时,采用超声测量下腔静脉呼气末最大直径(inferior vena cava maximal diameter during quiet expiration,IVCe)、下腔静脉吸气末最小直径(inferior vena cava minimal diameter during quiet inspiration,IVCi),并计算不同体位时IVC-CI及平卧位与左侧卧位的IVC-CI差值(ΔIVC-CI).依据脊椎麻醉后SHS的发生情况,将102例行剖宫产的单胎产妇分为SHS组和非SHS组,比较2组间各超声测量参数的差异.结果:在102例产妇中,54例在脊椎麻醉后发生SHS.SHS组和非SHS组产妇在平卧位时的IVCe、IVCi均比自身左侧卧位时明显降低(P |
| doi_str_mv | 10.16150/j.1671-2870.2020.02.007 |
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Ltd. All Rights Reserved.</rights><woscitedreferencessubscribed>false</woscitedreferencessubscribed></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Uhttp://www.wanfangdata.com.cn/images/PeriodicalImages/zdxllysj/zdxllysj.jpg</thumbnail><link.rule.ids>314,778,782,862,4012,27910,27911,27912</link.rule.ids></links><search><creatorcontrib>姚世发</creatorcontrib><creatorcontrib>牛建梅</creatorcontrib><creatorcontrib>徐韬</creatorcontrib><title>超声测量下腔静脉塌陷指数预测产妇脊椎麻醉后仰卧位低血压综合征发生的价值</title><title>诊断学理论与实践</title><description><![CDATA[R730.4; 目的:产前应用超声测量不同体位时产妇的下腔静脉塌陷指数(inferior vena cava collapse index,IVC-CI),探究其在预测脊椎麻醉后仰卧位低血压综合征(supine hypotension syndrome,SHS)中的应用价值.方法:剖宫产手术前,分别在产妇左侧卧位及平卧位时,采用超声测量下腔静脉呼气末最大直径(inferior vena cava maximal diameter during quiet expiration,IVCe)、下腔静脉吸气末最小直径(inferior vena cava minimal diameter during quiet inspiration,IVCi),并计算不同体位时IVC-CI及平卧位与左侧卧位的IVC-CI差值(ΔIVC-CI).依据脊椎麻醉后SHS的发生情况,将102例行剖宫产的单胎产妇分为SHS组和非SHS组,比较2组间各超声测量参数的差异.结果:在102例产妇中,54例在脊椎麻醉后发生SHS.SHS组和非SHS组产妇在平卧位时的IVCe、IVCi均比自身左侧卧位时明显降低(P<0.01),2组产妇在平卧位时的IVC-CI均比自身左侧卧位时明显增高(P<0.01).SHS组与非SHS组比较,左侧卧位时的IVCe、IVCi、IVC-CI差异无统计学意义(P<0.01),而SHS组平卧位时的IVCe、IVCi较非SHS组均明显降低(P<0.01),SHS组平卧位时的IVC-CI较非SHS组均明显增高(P<0.01);SHS组ΔIVC-CI较非SHS组明显增高(P<0.01).平卧位时的IVC-CI、ΔIVC-CI预测产妇脊椎麻醉后SHS发生的受试者操作特征曲线(receiver operator characteristic curve,ROC曲线)下面积分别为0.941、0.927,当平卧位IVC-CI取41.43％、ΔIVC-CI取14.09％作为预测产妇脊椎麻醉后发生SHS的临界值时,其预测灵敏度分别为88.9％、87.0％,特异度分别为98.8％、87.5％.结论:产前采用超声测量产妇平卧位时的IVC-CI及ΔIVC-CI,在一定程度上可预测其脊椎麻醉后SHS的发生风险.]]></description><issn>1671-2870</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2020</creationdate><recordtype>article</recordtype><recordid>eNpjYFAwNNAzNDM0NdDPAtLmhrpGFuYGekYGRgZ6BkZ6BgbmLAyccHEOBt7i4iwDAwMjS0MjQ0szTobMF9tany7e8Gxr98v2_ic7ul-0Tnk5d-aLls6nC3teztz-rKf92dQNLxe1ABU82bX86bL2Fy1dz5b0vdy1-2Vb59MJfU92b3jau_zJ3t4ne_teLGx42tf9fPeepxM6nu5rfNo_8fmU-c9ntTzZvf1pwx4eBta0xJziVF4ozc2g6eYa4uyhW56Yl5aYlx6flV9alAeUia9KqcjJqSzOAnkChMyNSVELAHnAdw4</recordid><startdate>2020</startdate><enddate>2020</enddate><creator>姚世发</creator><creator>牛建梅</creator><creator>徐韬</creator><general>上海交通大孝医孝院附属国际和平妇幼保健院超声科,上海 200030</general><general>上海市胚胎源性疾病重点实验室,上海市临床重点专科(建设项目)-"强主体"妇产科,上海 200030%上海交通大孝医孝院附属国际和平妇幼保健院麻醉科,上海,200030</general><scope>2B.</scope><scope>4A8</scope><scope>92I</scope><scope>93N</scope><scope>PSX</scope><scope>TCJ</scope></search><sort><creationdate>2020</creationdate><title>超声测量下腔静脉塌陷指数预测产妇脊椎麻醉后仰卧位低血压综合征发生的价值</title><author>姚世发 ; 牛建梅 ; 徐韬</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-wanfang_journals_zdxllysj2020020073</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>chi</language><creationdate>2020</creationdate><toplevel>online_resources</toplevel><creatorcontrib>姚世发</creatorcontrib><creatorcontrib>牛建梅</creatorcontrib><creatorcontrib>徐韬</creatorcontrib><collection>Wanfang Data Journals - Hong Kong</collection><collection>WANFANG Data Centre</collection><collection>Wanfang Data Journals</collection><collection>万方数据期刊 - 香港版</collection><collection>China Online Journals (COJ)</collection><collection>China Online Journals (COJ)</collection><jtitle>诊断学理论与实践</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>姚世发</au><au>牛建梅</au><au>徐韬</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>超声测量下腔静脉塌陷指数预测产妇脊椎麻醉后仰卧位低血压综合征发生的价值</atitle><jtitle>诊断学理论与实践</jtitle><date>2020</date><risdate>2020</risdate><volume>19</volume><issue>2</issue><spage>135</spage><epage>138</epage><pages>135-138</pages><issn>1671-2870</issn><abstract><![CDATA[R730.4; 目的:产前应用超声测量不同体位时产妇的下腔静脉塌陷指数(inferior vena cava collapse index,IVC-CI),探究其在预测脊椎麻醉后仰卧位低血压综合征(supine hypotension syndrome,SHS)中的应用价值.方法:剖宫产手术前,分别在产妇左侧卧位及平卧位时,采用超声测量下腔静脉呼气末最大直径(inferior vena cava maximal diameter during quiet expiration,IVCe)、下腔静脉吸气末最小直径(inferior vena cava minimal diameter during quiet inspiration,IVCi),并计算不同体位时IVC-CI及平卧位与左侧卧位的IVC-CI差值(ΔIVC-CI).依据脊椎麻醉后SHS的发生情况,将102例行剖宫产的单胎产妇分为SHS组和非SHS组,比较2组间各超声测量参数的差异.结果:在102例产妇中,54例在脊椎麻醉后发生SHS.SHS组和非SHS组产妇在平卧位时的IVCe、IVCi均比自身左侧卧位时明显降低(P<0.01),2组产妇在平卧位时的IVC-CI均比自身左侧卧位时明显增高(P<0.01).SHS组与非SHS组比较,左侧卧位时的IVCe、IVCi、IVC-CI差异无统计学意义(P<0.01),而SHS组平卧位时的IVCe、IVCi较非SHS组均明显降低(P<0.01),SHS组平卧位时的IVC-CI较非SHS组均明显增高(P<0.01);SHS组ΔIVC-CI较非SHS组明显增高(P<0.01).平卧位时的IVC-CI、ΔIVC-CI预测产妇脊椎麻醉后SHS发生的受试者操作特征曲线(receiver operator characteristic curve,ROC曲线)下面积分别为0.941、0.927,当平卧位IVC-CI取41.43％、ΔIVC-CI取14.09％作为预测产妇脊椎麻醉后发生SHS的临界值时,其预测灵敏度分别为88.9％、87.0％,特异度分别为98.8％、87.5％.结论:产前采用超声测量产妇平卧位时的IVC-CI及ΔIVC-CI,在一定程度上可预测其脊椎麻醉后SHS的发生风险.]]></abstract><pub>上海交通大孝医孝院附属国际和平妇幼保健院超声科,上海 200030</pub><doi>10.16150/j.1671-2870.2020.02.007</doi></addata></record> |
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| title | 超声测量下腔静脉塌陷指数预测产妇脊椎麻醉后仰卧位低血压综合征发生的价值 |
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