Primary exploration on the methods of invasive blood pressure prediction / 中国综合临床

ABSTRACT

Objective To find the way of predicting invasive blood pressure.Methods 47 subjects were enrolled into the study.Non-invasive blood pressure (NBP) measurements were performed by the oscillometric device.The corresponding invasive blood pressure (IBP) reading was obtained from a radial intra-arterial catheter on the same arm.The index of the blood vessel structure was measured by two-dimensional ultrasound,homodynamic parameters of carotid and radial artery were measured by using the color Doppler ultrasound.Linear relation between IBP and NBP,as well as IBP and indices measured by non-invasive methods Was analyzed by regression method. Canonical correlation analysis was also conducted to find out the potential predictive factors of invasive blood pressure. Results The regression equation wasY=17.21-64.357X1+2.802X2+1.324X3(Yrepresents ISBP,Xl represents RRI,X2 represents RPI,X3 represents NSBP).The first canonical correlation coefficients can be explained the correlation between index measured by non-invasive methods and invasive blood pressure.Conclusion Invasive blood pressure can be predicted from non-invasive blood pressure and hemodynamic parameters.In addition to noninvasive systolic hlood pressure and radial artery resistance index.the potential predictive factors of invasive blood pressure includes explmned by non-invasive diastolic blood pressure,radial pulsating index,carotid shear rate and carotid peak systolic velocity.