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

查看全文 作  者:Zhifeng [1]Zhang;Jiatuo [1]Xu;Enyuan [1]Zhu;Qi [2]Zhang;Lu [2]Yu;Yongbing [1]Qiu;Jianguo [1]Tang;Zhaofu [1]Fei;Xin [3]Li;Liping [1]Tu;Chouping [1]Han;Ying [1]Liu;Zhen [3]Guo;Changle [1]Zhou;Meiyu [1]Shi;Yingxin [1]Qian;Yimin [1]Bao;Xinming [2]Ji 高影响力作者 机构地区:[1]Basic Medical Science School, Shanghai University of Traditional Chinese Medicine;[2]Department of Microelectronics, Fudan University;[3]Department of Cardiopulmonary Bypass,Shanghai Chest Hospital Affiliated with Shanghai Jiaotong University高影响力机构 出  处:《Journal of Traditional Chinese Medicine》索引2014年第34卷第6期,共5页高影响力期刊 基  金:Grants from the National Natural Science Foundation of China(No.81173200,No.81373556);the Research and Assessment of the Effects of Pulsatile Perfusion During Cardiopulmonary Bypass Based on the Monitoring'Cunkou'Pulse Waveforms of Traditional Chinese Medicine Research Fund of Shanghai Municipal Public Health Bureau(No.2010J015A) 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 April2010 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. 关 键 词:体外循环 主动脉 灌注 脉冲波形 心脏疾病 CPB 定量方法 患者
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