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对示波法和多普勒超声设备在麻醉和清醒犬类中测量血压的评估。

Evaluation of oscillometric and Doppler ultrasonic devices for blood pressure measurements in anesthetized and conscious dogs.

作者信息

Vachon Catherine, Belanger Marie C, Burns Patrick M

机构信息

Faculté de Médecine Vétérinaire, Department of Clinical Sciences, University of Montreal, Canada.

Faculté de Médecine Vétérinaire, Department of Clinical Sciences, University of Montreal, Canada.

出版信息

Res Vet Sci. 2014 Aug;97(1):111-7. doi: 10.1016/j.rvsc.2014.05.003. Epub 2014 May 15.

Abstract

Two non-invasive blood pressure (NIBP) devices (oscillometry and Doppler) were compared to invasive blood pressure using a Bland-Altman analysis, in anesthetized and conscious dogs. When considering the systolic arterial pressure only during general anesthesia, both NIBP devices slightly underestimated the systolic arterial blood pressure however the precision and the limits of agreement for the Doppler were of a greater magnitude. This indicates a worse clinical performance by the Doppler. The performance of both NIBP devices deteriorated as measured in conscious animals. In general, for the oscillometric device, determination of invasive diastolic and mean arterial pressures was better than the invasive systolic arterial pressure. Overall, the oscillometric device satisfied more of the criteria set by the American College of Veterinary Internal Medicine consensus statement. Based upon these results, the oscillometric device is more reliable than the Doppler in the determination of blood pressure in healthy medium to large breed dogs.

摘要

在麻醉和清醒的犬只中,使用布兰德-奥特曼分析方法,将两种无创血压(NIBP)设备(示波法和多普勒法)与有创血压进行了比较。仅考虑全身麻醉期间的收缩压时,两种NIBP设备均略微低估了收缩期动脉血压,然而,多普勒法的精密度和一致性界限幅度更大。这表明多普勒法的临床性能较差。在清醒动物中测量时,两种NIBP设备的性能均下降。总体而言,对于示波法设备,有创舒张压和平均动脉压的测定优于有创收缩期动脉压。总体而言,示波法设备更符合美国兽医内科学会共识声明设定的更多标准。基于这些结果,在健康的中大型犬只血压测定中,示波法设备比多普勒法更可靠。

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