膝关节置换术患者骨水泥植入综合征的血流动力学变化及相关因素

A. Moradi, N. Abedini
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引用次数: 1

摘要

考虑到麻醉和手术团队在使用骨水泥时对可能发生的血流动力学变化的认识和预防其风险的重要性,了解这个问题是非常重要的。目的:本研究旨在识别和预防在膝关节置换术候选人使用骨水泥时可能出现的血流动力学改变和相关因素的风险。患者和方法:本描述性分析研究于2020年在Imam Reza和Shohada医院(隶属于大不里士医科大学)对63例膝关节置换术患者进行了研究。记录所有患者的血流动力学状态(心率、血压、动脉血氧饱和度(SaO2)),并计算使用骨水泥前、中、后3分钟的变化。结果:使用骨水泥前后舒张压(P=0.221)、收缩压(P=0.195)、心率(P=0.125)随时间的升高均无统计学意义。患者的动脉血氧饱和度基本不变(P=0.999)。结论:骨水泥对血压和心率(收缩压和舒张压)的影响较小。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Hemodynamic changes and related factors in bone cement implantation syndrome in knee arthroplasty candidates
Introduction: Considering the importance of the anesthesia and surgery team’s awareness of possible hemodynamic changes when using bone cement and preventing its risks, it is very important to know about this issue. Objectives: This study aimed to identify and prevent the risks of possible hemodynamic changes and related factors when using bone cement in knee arthroplasty candidates. Patient and Methods: This descriptive-analytical study of 63 knee arthroplasty candidates in Imam Reza and Shohada hospitals (affiliated with the Tabriz university of medical sciences) was conducted in 2020. The hemodynamic status (heart rate, blood pressure, and arterial oxygen saturation (SaO2 )) of all patients was recorded and changes were calculated three minutes before, during, and three minutes after using bone cement. Results: The increase in diastolic (P=0.221) and systolic (P=0.195) blood pressure and heart rate (P=0.125) over time (before and after using bone cement) was statistically insignificant. However, the arterial oxygen saturation of patients remained constant (P=0.999). Conclusion: The results showed that using bone cement causes minor changes in (systolic and diastolic) blood pressure and heart rate.
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