在人工循环下进行冠状动脉搭桥术时,应用体外自体血磁疗法的方法纠正术中血流动力学障碍

K. .. Kratkou, V. N. Valentyukevich
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引用次数: 0

摘要

研究目的评估在人工循环条件下进行心肌血运重建手术(主动脉和乳腺冠状动脉搭桥手术)时,体外自体血磁疗法对中心血流动力学参数的影响。材料和方法研究了在麻醉科和重症监护室接受治疗的 100 名患者的有创血液动力学参数。所有患者被分为两组。第一组(50 人)在人工循环下接受冠状动脉旁路移植术和乳腺冠状动脉旁路移植术的标准麻醉(多组分平衡麻醉),不使用体外自体血磁疗法。第 2 组(50 人)除使用标准麻醉外,还使用了自体血磁疗法。在桡动脉外侧(上窦)和膀胱外侧(下窦)导管插入后,使用 Draeger Infinity Delta 监测系统(德国)评估有创血液动力学参数:收缩压、舒张压、平均动脉压、中心静脉压、心率。这些参数在手术干预的两个阶段进行研究:分别在麻醉诱导后 10 分钟和使用计算剂量的质胺后 10 分钟进行。研究结果使用自体血磁疗法可以提高有创中枢血液动力学参数:收缩压、舒张压、平均动脉压。对心率和中心静脉压参数的研究未发现统计学差异。结论是在心肌血运重建术中使用体外自体血磁疗法有助于纠正血流动力学紊乱。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
APPLICATION OF THE METHOD OF EXTRACORPOREAL AUTOHEMOMAGNETIC THERAPY FOR THE PURPOSE OF CORRECTION OF HEMODYNAMIC DISORDERS IN THE INTRAOPERATIVE PERIOD WHEN PERFORMING CORONARY BYPASS UNDER ARTIFICIAL CIRCULATION
Purpose of the study. To evaluate the effect of extracorporeal autohemomagnetic therapy on the parameters of central hemodynamics during surgical intervention for myocardial revascularization (aortocoronary and mammary coronary bypass surgery) under conditions of artificial circulation. Material and methods. The parameters of invasive hemodynamics of 100 patients who were treated in anesthesiology and intensive care units were studied. All patients were divided into 2 groups. Group 1 (50 people) received standard anesthesia (multicomponent balanced anesthesia) for coronary artery bypass grafting and mammary coronary artery bypass grafting under artificial circulation without the use of extracorporeal autohemomagnetic therapy. In group 2 (50 people), in addition to standard anesthesia autohemomagnetic therapy was used. Аfter catheterization of a. radialis dextra (sinistra) and v. jagularis interna dextra (sinistra), the invasive hemodynamics parameters were assessed using the Draeger Infinity Delta monitoring system (Germany): systolic blood pressure, diastolic blood pressure, mean arterial pressure, central venous pressure, heart rate. The parameters were studied at 2 stages of the surgical intervention: 10 minutes after induction of anesthesia, 10 minutes after administration of the calculated dose of protamine. Results. The use of autohemomagnetic therapy made it possible to increase the parameters of invasive central hemodynamics: systolic blood pressure, diastolic blood pressure, mean arterial pressure. The study of the parameters of heart rate and central venous pressure revealed no statistical differences. Conclusions. The use of extracorporeal autohemomagnetic therapy in the intraoperative period during myocardial revascularization can help correct hemodynamic disorders.
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