Liu Rui-Ning, Wei Xiao-Jun, Li Shao-Ping, Jiang Cheng, Zhao Yan
Emergency Department of Zhongnan Hospital, Wuhan University, Wuhan 430071, China.
World J Emerg Med. 2020;11(2):102-108. doi: 10.5847/wjem.j.1920-8642.2020.02.007.
The purpose of this study was to identify the consistency of invasive dynamic blood pressure (BP) monitoring between the superior mesenteric artery (SMA) and the common carotid artery (CCA).
Eight male Sprague-Dawley rats were cannulated in SMA and CCA simultaneously for BP monitoring, respectively. The abdominal aorta was prepared for the induction of BP change through clamping/de-clamping by a microvascular clip. The dynamic BP monitoring was performed by a polygraph system. Systolic blood pressure (SBP), diastolic blood pressure (DBP), and mean arterial pressure (MAP) values would be recorded during different time periods: the baseline (T1), the increasing period after clamping (T2), the platform period during clamping (T3), the decreasing period after de-clamping (T4), and the final platform period (T5). Three trials were performed on each rat with 15-minute intervals between consecutive monitoring.
Systolic BP showed no significant differences between SMA and CCA. However, significant difference was found in diastolic blood pressure except at T5 (P=0.534). Mean arterial pressure of two arteries were significantly different only at T1 (P=0.015). The strength of association was significantly high between BP measurements through SMA and CCA (P<0.001). The Bland-Altman analyses showed that mean bias of MAP changed no more than 5 mmHg and standard deviation less than 8 mmHg during T2 and T4, respectively.
The study indicates SMA might be an alternative site for invasive BP monitoring during abdominal aorta occlusion and release, especially in cerebrovascular-related research.
本研究的目的是确定肠系膜上动脉(SMA)和颈总动脉(CCA)之间有创动态血压监测的一致性。
将8只雄性Sprague-Dawley大鼠同时分别插入SMA和CCA进行血压监测。准备腹主动脉,通过微血管夹夹闭/松开以诱导血压变化。通过多导仪系统进行动态血压监测。在不同时间段记录收缩压(SBP)、舒张压(DBP)和平均动脉压(MAP)值:基线期(T1)、夹闭后血压上升期(T2)、夹闭期间的平台期(T3)、松开后血压下降期(T4)以及最后的平台期(T5)。对每只大鼠进行3次试验,连续监测之间间隔15分钟。
SMA和CCA之间的收缩压无显著差异。然而,除T5外,舒张压存在显著差异(P = 0.534)。两条动脉的平均动脉压仅在T1时有显著差异(P = 0.015)。通过SMA和CCA进行的血压测量之间的关联强度显著较高(P < 0.001)。Bland-Altman分析表明,在T2和T4期间,MAP的平均偏差变化分别不超过5 mmHg和标准差小于8 mmHg。
该研究表明,在腹主动脉阻断和松开期间,SMA可能是有创血压监测的替代部位,尤其是在脑血管相关研究中。