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DOI：
10.1007/s00540-018-2589-2
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发表时间：
2018
影响因子：
2.8
通讯作者：
Nishikawa Kiyonobu
中科院分区：
文献类型：
--
作者：
Juri Takashi;Suehiro Koichi;Nishikawa Kiyonobu
我们的研究表明，持续的血压监测可以降低剖宫产期间低血压的发生率。正如马自达博士指出的，无创连续血压监测是理想的，但其应用应仅限于妊娠高血压等严重病例。最近的指南建议在剖宫产期间将血压(BP)维持在基线收缩压(SBP)的90%以上[2]，因此，我们设计了基于SBP的方案。平均血压(MBP)可能比SBP更重要，作为器官血流灌注的决定因素，在剖宫产中使用MBP进行血流动力学管理对胎儿和母体结局的影响还需要进一步的研究。
Our study has shown that continuous blood pressure monitoring reduced the incidence of hypotension during cesarean delivery. As Dr. Mazda pointed out, non-invasive continuous blood pressure monitoring is ideal, however, its application should be limited to severe cases such as pregnancy-induced hypertension.Recent guidelines have recommended the hemodynamic management maintaining blood pressure (BP) more than 90% of baseline systolic BP (SBP) during cesarean delivery [2], therefore, we designed our protocol based on SBP. The mean BP (MBP) may be more important than SBP as a determinant of organ perfusion, and further studies are needed to investigate the impact of the hemodynamic management using MBP during cesarean delivery on the fetal and maternal outcomes.