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本文引用的文献

1
Perfusion index as a predictor of working pediatric caudal block under general anesthesia- A prospective observational study.灌注指数作为全身麻醉下小儿骶管阻滞效果预测指标的前瞻性观察研究
J Anaesthesiol Clin Pharmacol. 2022 Oct-Dec;38(4):635-639. doi: 10.4103/joacp.JOACP_34_21. Epub 2022 Dec 26.
2
Investigation of infraclavicular block success using the perfusion index: A randomized clinical trial.应用灌注指数评估锁骨下阻滞成功率的随机临床试验。
Biomol Biomed. 2023 May 1;23(3):496-501. doi: 10.17305/bjbms.2022.8214.
3
Perfusion Index Value in Determining the Success of Axillary Block.灌注指数值在腋路阻滞成功中的应用。
J Coll Physicians Surg Pak. 2022 Sep;32(9):1105-1109. doi: 10.29271/jcpsp.2022.09.1105.
4
Evaluation of prediction effect of perfusion index for supraclavicular brachial plexus block in children: protocol for a randomized trial.评价灌注指数预测儿童锁骨上臂丛阻滞效果的随机试验方案
Trials. 2022 Aug 4;23(1):629. doi: 10.1186/s13063-022-06597-y.
5
Plethysmographic Peripheral Perfusion Index: Could It Be a New Vital Sign?体积描记法外周灌注指数：它会成为一项新的生命体征吗？
Front Med (Lausanne). 2021 Oct 1;8:651909. doi: 10.3389/fmed.2021.651909. eCollection 2021.
6
The ability of pulse oximetry-derived peripheral perfusion index to detect fluid responsiveness in patients with septic shock.脉搏血氧仪衍生的外周灌注指数检测脓毒性休克患者液体反应性的能力。
J Anesth. 2021 Apr;35(2):254-261. doi: 10.1007/s00540-021-02908-w. Epub 2021 Feb 22.
7
The ability of perfusion index to detect segmental ulnar nerve sparing after supraclavicular nerve block.经锁骨上神经阻滞后侧支尺神经保留的检测中灌注指数的能力。
J Clin Monit Comput. 2020 Dec;34(6):1185-1191. doi: 10.1007/s10877-019-00443-4. Epub 2019 Dec 9.
8
Perfusion Index and ultrasonography in the evaluation of infraclavicular block.灌注指数和超声检查在锁骨下阻滞评估中的应用。
Minerva Anestesiol. 2019 Jul;85(7):746-755. doi: 10.23736/S0375-9393.18.13046-X. Epub 2019 Jan 4.
9
Predicting successful supraclavicular brachial plexus block using pulse oximeter perfusion index.利用脉搏血氧仪灌注指数预测锁骨上臂丛阻滞的成功率。
Br J Anaesth. 2017 Aug 1;119(2):276-280. doi: 10.1093/bja/aex166.
10
Comparison of the coracoid and retroclavicular approaches for ultrasound-guided infraclavicular brachial plexus block.超声引导下锁骨下臂丛神经阻滞喙突入路与锁骨后入路的比较
J Anesth. 2017 Aug;31(4):572-578. doi: 10.1007/s00540-017-2359-6. Epub 2017 Apr 18.

利用灌注指数评估儿科患者的阻滞成功率：一项回顾性研究。

Using the Perfusion Index for Block Success in Pediatric Patients: A Retrospective Study.

作者信息

Altun Gozde, Turan Engin Ihsan, Sahin Ayca Sultan

机构信息

Anesthesiology and Reanimation, Istanbul University Cerrahpasa Institute of Cardiology, Istanbul, TUR.

Anesthesiology and Reanimation, Kanuni Sultan Suleyman Education and Training Hospital, Istanbul, TUR.

出版信息

Cureus. 2023 Sep 15;15(9):e45281. doi: 10.7759/cureus.45281. eCollection 2023 Sep.

DOI:10.7759/cureus.45281
PMID:37846249
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10576850/
Abstract

STUDY OBJECTIVE

To investigate the efficacy of the perfusion index in assessing block success in pediatric patients undergoing elective supracondylar fracture repair surgery.

METHODS

It was a retrospective study in a tertiary-care center. Twenty-eight pediatric supracondylar humerus fracture patients who underwent elective surgery for fracture repair were evaluated. Perfusion index, pulse rate, pleth variability index (PVi), and oxygen saturation were measured at different time intervals before and after the coracoid infraclavicular block procedure.

MAIN RESULTS

The changes in perfusion index (PI) values were found to be statistically significant (p˂0.05). The Bonferroni analysis revealed that the results obtained at three separate measurement times differed significantly (p˂0.05). On the other hand, changes in other variables were not statistically significant (p˃0.05).

CONCLUSIONS

The perfusion index can be used as an indicator of block success in elective surgeries of the upper extremities in pediatric patients.

摘要

研究目的

探讨灌注指数在评估择期行髁上骨折修复手术的儿科患者阻滞成功与否中的有效性。

方法

这是一项在三级医疗中心进行的回顾性研究。对28例接受择期骨折修复手术的小儿肱骨髁上骨折患者进行了评估。在喙突锁骨下阻滞操作前后的不同时间间隔测量灌注指数、脉搏率、 pleth变异性指数（PVi）和血氧饱和度。

主要结果

发现灌注指数（PI）值的变化具有统计学意义（p˂0.05）。Bonferroni分析显示，在三个不同测量时间获得的结果差异显著（p˂0.05）。另一方面，其他变量的变化无统计学意义（p˃0.05）。

结论

灌注指数可作为小儿患者上肢择期手术中阻滞成功的指标。