Effect of pulsatile perfusion during cardiopulmonary bypass in terms of radial artery sphygmogram

被引：2
|
作者：
Zhang, Zhifeng [1 ]
Xu, Jiatuo [1 ]
Zhu, Enyuan [1 ]
Zhang, Qi [2 ]
Yu, Lu [2 ]
Qiu, Yongbing [1 ]
Tang, Jianguo [1 ]
Fei, Zhaofu [1 ]
Li, Xin [3 ]
Tu, Liping [1 ]
Han, Chouping [1 ]
Liu, Ying [1 ]
Guo, Zhen [3 ]
Zhou, Changle [1 ]
Shi, Meiyu [1 ]
Qian, Yingxin [1 ]
Bao, Yimin [1 ]
Ji, Xinming [2 ]
机构：
[1] Shanghai Univ Tradit Chinese Med, Basic Med Sci Sch, Shanghai 201203, Peoples R China
[2] Fudan Univ, Dept Microelect, Shanghai 200433, Peoples R China
[3] Shanghai Jiao Tong Univ, Dept Cardiopulmonary Bypass, Shanghai Chest Hosp, Shanghai 200030, Peoples R China
来源：
JOURNAL OF TRADITIONAL CHINESE MEDICINE | 2014年 / 34卷 / 06期
基金：
中国国家自然科学基金;
关键词：
Cardiopulmonary bypass; Pulsatile flow; Radial artery; Pulse waveforms; Sphygmogram; OXYGEN-SATURATION; BLOOD-FLOW; PRESERVATION; SURGERY; PUMP;
D O I：
10.1016/S0254-6272(15)30081-9
中图分类号：
R [医药、卫生];
学科分类号：
10 ;
摘要：
OBJECTIVE: To investigate a quantitative method for using radial artery pulse waveforms to assess the effect of pulsatile flow during cardiopulmonary bypass (CPB). METHODS: A total of 34 adults with heart disease who underwent open-heart surgery between April 2010 and January 2011 were randomized into a pulsatile perfusion group (n=17) and a non-pulsatile perfusion group (n=17). Radial arterial pulse waveforms of pulsatile and non-pulsatile perfusion patients were observed and compared before and during CPB. RESULTS: No pulse waveform could be detected at patients' radial artery in both groups when the aorta was cross-clamped. Pulse waveforms could be detected at pulsatile perfusion patients' radial artery, but could not be detected at non-pulsatile perfusion patients' radial artery during CPB. Additionally, patients' pulse waveforms during pulsatile perfusion were lower than those before the operation. CONCLUSION: Our findings indicate that radial artery sphygmogram can be used as a valid indicator to evaluate the effectiveness of pulsatile perfusion during CPB. (C) 2014 JTCM. All rights reserved.
引用
收藏
页码：673 / 677
页数：5
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