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心率变异性作为预测子痫前期产妇择期剖宫产脊髓麻醉后低血压的指标：一项描述性观察研究

Heart Rate Variability as A Predictor of Hypotension Following Spinal Anesthesia for Elective Caesarian Section in Preeclamptic Parturients: A Descriptive Observational Study.

作者信息

Shehata Jehan Helmy, El Sakka Ahmed Ibrahim, Omran Amina, Gbre Mahmoud Abdeltawab Mahmoud Atia, Mohamed Ahmed Abdalla, Fetouh Ahmed Mohamed, Abourhama Abdelrahman Ahmed Aly Hassan, Belita Mohamed Ibrahim

机构信息

Department of Anesthesiology & ICU, Faculty of Medicine, Cairo University, Cairo, Egypt.

Anesthesiology Department, Faculty of Medicine, Cairo University, Cairo, Egypt.

出版信息

Open Access Maced J Med Sci. 2019 Dec 11;7(23):4043-4047. doi: 10.3889/oamjms.2019.703. eCollection 2019 Dec 15.

DOI:10.3889/oamjms.2019.703
PMID:32165949
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7061395/
Abstract

AIM

In this study we aimed to find out the heart rate variability measuring using electrical cardiometry is not reliable as a predictor for hypotension following spinal anesthesia in preeclamptic parturients undergoing elective cesarean section.

METHODS

Electrical Cardiometry system was used to measure Heart rate variability (HRV) at five different time points before fluid loading (T0, baseline), after fluid loading (T1), 5 min after spinal anaesthesia (T2), 15 min after spinal anaesthesia (T3) and 30 min after spinal anaesthesia (T4). Traditional HRV measurement was determined using time-domain analysis. This Observational descriptive cohort study was conducted in Kasr Al-Ainy Hospital, Faculty of Medicine, Cairo University from February 2018 till June 2019, after approval of the Ethical Committee and written patients consent.

RESULTS

The main finding of the current study is that heart rate variability measuring using electrical cardiometry is not reliable as a predictor for hypotension following spinal anaesthesia in preeclamptic parturients undergoing elective cesarean section.

CONCLUSION

Heart rate variability cannot be used as a predictor for hypotension following spinal anaesthesia in preeclamptic patients undergoing elective caesarean section using electrical cardiometry.

摘要

目的

在本研究中，我们旨在探究对于接受择期剖宫产的子痫前期产妇，使用心电描记法测量心率变异性作为脊髓麻醉后低血压预测指标是否可靠。

方法

在心电描记系统用于在液体负荷前（T0，基线）、液体负荷后（T1）、脊髓麻醉后5分钟（T2）、脊髓麻醉后15分钟（T3）和脊髓麻醉后30分钟（T4）这五个不同时间点测量心率变异性（HRV）。传统HRV测量采用时域分析确定。本观察性描述性队列研究于2018年2月至2019年6月在开罗大学医学院的卡斯尔·阿尼医院进行，经伦理委员会批准并获得患者书面同意。

结果

本研究的主要发现是，对于接受择期剖宫产的子痫前期产妇，使用心电描记法测量心率变异性作为脊髓麻醉后低血压预测指标不可靠。

结论

对于接受择期剖宫产的子痫前期患者，不能将心率变异性作为使用心电描记法进行脊髓麻醉后低血压的预测指标。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a613/7061395/925f2b186b6b/OAMJMS-7-4043-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a613/7061395/1648ddcbff8e/OAMJMS-7-4043-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a613/7061395/baf464807c82/OAMJMS-7-4043-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a613/7061395/6b347ae94b33/OAMJMS-7-4043-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a613/7061395/925f2b186b6b/OAMJMS-7-4043-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a613/7061395/1648ddcbff8e/OAMJMS-7-4043-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a613/7061395/baf464807c82/OAMJMS-7-4043-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a613/7061395/6b347ae94b33/OAMJMS-7-4043-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a613/7061395/925f2b186b6b/OAMJMS-7-4043-g004.jpg

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