{"id":134,"date":"2017-12-25T16:12:18","date_gmt":"2017-12-25T07:12:18","guid":{"rendered":"https:\/\/nihonkohden.com.cn\/wp\/?page_id=134"},"modified":"2022-11-21T16:06:07","modified_gmt":"2022-11-21T08:06:07","slug":"pwtt","status":"publish","type":"post","link":"https:\/\/nihonkohden.com.cn\/?p=134","title":{"rendered":"PWTT\u662f\u4ec0\u4e48"},"content":{"rendered":"

PWTT\u662f\u7528\u4e8e\u6355\u6349\u8840\u538b\u7684\u7a81\u53d8\uff0c\u5e76\u901a\u8fc7\u89e6\u53d1NIBP\u68c0\u6d4b\u6765\u786e\u8ba4\u5177\u4f53\u6570\u636e\u7684\u6280\u672f\u3002\u5b83\u4e0e\u8840\u538b\u5b9a\u65f6\u6a21\u5f0f\u8054\u5408\u4f7f\u7528\uff0c\u53ef\u4ee5\u63d0\u4f9b\u5168\u9762\u7684\u8840\u538b\u76d1\u62a4\u3002<\/p>\n

PWTT\uff08Pulse Wave Transit Time\uff09\u662f\u4e00\u4e2a\u65e0\u521b\u53c2\u6570\uff0c\u7528\u4e8e\u76d1\u6d4b\u75c5\u4eba\u8840\u538b\u7684\u7a81\u53d8\u53d8\u5316\u3002\u53ea\u9700\u8981\u901a\u8fc7\u8fde\u7eed\u7684ECG\u548cSpO2\u76d1\u62a4\u5373\u53ef\u5b9e\u73b0\uff0c\u65e0\u9700\u589e\u52a0\u989d\u5916\u7684\u4f20\u611f\u5668\u548c\u6a21\u5757\u3002<\/p>\n

\u6211\u4eec\u7814\u7a76\u53d1\u73b0\uff0cPWTT\u7684\u53d8\u5316\u4e0e\u8840\u538b\u7684\u53d8\u5316\u5b58\u5728\u4e00\u5b9a\u89c4\u5f8b\u7684\u8054\u7cfb\u3002\u5f53PWTT\u53d8\u5316\u8d85\u8fc7\u9884\u8bbe\u9608\u503c\u65f6\uff0c\u76d1\u62a4\u4eea\u4f1a\u4e3b\u52a8\u89e6\u53d1NIBP\u7684\u6d4b\u91cf\u5e76\u8bb0\u5f55\u4e0b\u8be5\u8840\u538b\u6570\u503c\u3002<\/p>\n

\u901a\u5e38\u60c5\u51b5\u4e0b\uff0c\u4e34\u5e8a\u4f1a\u4f7f\u7528\u5b9a\u65f6\u6a21\u5f0f\u6765\u76d1\u6d4b\u75c5\u4eba\u8840\u538b\u3002\u4f46\u662f\u5f80\u5f80\u6211\u4eec\u4f1a\u9057\u6f0f\u6389\u90a3\u4e9b\u975e\u5b9a\u65f6\u65f6\u95f4\u70b9\u8840\u538b\u7684\u53d8\u5316\u3002<\/p>\n

\"\"<\/p>\n

\u65e5\u672c\u5149\u7535\u539f\u521b\u7684PWTT\u6280\u672f\u53ef\u4ee5\u89e3\u51b3\u8fd9\u4e00\u96be\u9898\u3002\u901a\u8fc7PWTT\u6280\u672f\uff0c\u76d1\u62a4\u4eea\u53ef\u4ee5\u4e3b\u52a8\u4fa6\u6d4b\u5230\u8840\u538b\u53d1\u751f\u7a81\u53d8\u5e76\u81ea\u52a8\u89e6\u53d1NIBP\u6d4b\u91cf\u3002<\/p>\n

\"\"<\/p>\n

\u5728\u7edd\u5927\u591a\u6570\u60c5\u51b5\u4e0b\uff0c\u8840\u538b\u4e0ePWTT\u90fd\u5b58\u5728\u8fd9\u79cd\u89c4\u5f8b\u53d8\u5316\u3002\u4f7f\u7528\u7981\u5fcc\uff0c\u8bf7\u4e0e\u65e5\u672c\u5149\u7535\u5f53\u5730\u529e\u4e8b\u5904\u8054\u7cfb\u3002PWTT\u5bf9\u4e8eNIBP\u7684\u76d1\u6d4b\u6709\u7740\u79ef\u6781\u7684\u610f\u4e49\u3002<\/p>\n

\u5e94\u7528<\/span><\/p>\n

\u5e94\u7528<\/p>\n

PWTT\u4e34\u754c\u503c\u9700\u8981\u6839\u636e\u75c5\u4eba\u7684\u60c5\u51b5\u548c\u6240\u5904\u7684\u79d1\u5ba4\u6765\u8fdb\u884c\u8bbe\u7f6e\u3002\u9ad8\u7075\u654f\u5ea6\uff0c\u53ea\u9700\u8981\u5f88\u5c0f\u7684\u8840\u538b\u53d8\u5316\u5c31\u53ef\u4ee5\u89e6\u53d1NIBP\u68c0\u6d4b\uff1b\u4f4e\u7075\u654f\u5ea6\uff0c\u9700\u8981\u66f4\u5927\u7684\u53d8\u5316\u6765\u89e6\u53d1NIBP\u68c0\u6d4b\u3002\u6700\u7ec8\u4f1a\u5f71\u54cd\u5230NIBP\u76d1\u6d4b\u7684\u9891\u7387\u3002<\/p>\n

\u4e34\u5e8a\u6848\u4f8b<\/p>\n

\u4ee5\u4e0b\u6848\u4f8b\u5f88\u597d\u7684\u53cd\u6620\u4e86\u8840\u538b\u548cPWTT\u4e4b\u95f4\u7684\u5173\u8054\u89c4\u5f8b\u3002\u5728\u8be5\u6848\u4f8b\u4e2d\u7684IBP\u548cPWTT\u4ee5\u53caNIBP\u5b9a\u65f6\u6d4b\u91cf\u6a21\u5f0f\u90fd\u6765\u6e90\u4e8e\u5b9e\u9645\u76d1\u6d4b\u6570\u636e\u3002<\/p>\n

OR<\/p>\n

\u6848\u4f8b\u4e2d\u901a\u8fc7NIBP\u5b9a\u65f6\u6d4b\u91cf\u6211\u4eec\u83b7\u5f97\u4e86\u4e00\u7ec4\u6570\u636e\uff0c\u5728\u6d4b\u91cf\u95f4\u9694\u4e4b\u95f4\uff0c\u75c5\u4eba\u7684BP\u53d1\u751f\u4e0b\u964d\uff0c\u6b64\u65f6\u8fd8\u672a\u5230NIBP\u76d1\u6d4b\u8bbe\u5b9a\u7684\u65f6\u95f4\u3002\u6b64\u65f6\u901a\u8fc7PWTT\u6280\u672f\u4fa6\u6d4b\u5230\u4e86\u75c5\u4ebaBP\u53d1\u751f\u53d8\u5316\u3002\u533b\u62a4\u4eba\u5458\u91c7\u7528\u4e86\u9ebb\u9ec4\u78b1\u6765\u5347\u9ad8\u75c5\u4ebaBP\u3002<\/p>\n

\"\"<\/p>\n

ICU<\/p>\n

\u8be5\u6848\u4f8b\u4e2d\uff0c\u75c5\u4eba\u610f\u8bc6\u6e05\u9192\uff0c\u5e76\u4e14\u8840\u538b\u504f\u9ad8\u4e14\u4e0d\u7a33\u5b9a\u3002\u4e34\u5e8a\u9700\u8981\u5bf9\u75c5\u4eba\u8fdb\u884c\u9547\u9759\u5904\u7406\uff0c\u8ba9\u8840\u538b\u4e0b\u964d\u5230\u7a33\u5b9a\u7684\u6b63\u5e38\u8303\u56f4\u3002\u901a\u5e38\u60c5\u51b5\u4e0b\uff0c\u4f1a\u6bcf\u969430\u5206\u949f\u68c0\u6d4b\u75c5\u4eba\u7684NIBP\u3002\u95ee\u9898\u662f\u4f1a\u9057\u6f0f30\u5206\u949f\u7684\u95f4\u9694\u4e4b\u95f4\u7684\u8840\u538b\u53d8\u5316\uff0c\u800cPWTT\u6280\u672f\u89e3\u51b3\u4e86\u8fd9\u4e2a\u95ee\u9898\u3002<\/p>\n

\"\"<\/p>\n

\u68c0\u6d4b\u539f\u7406<\/span><\/p>\n

\u68c0\u6d4b\u76ee\u6807<\/p>\n

PWTT\u662f\u901a\u8fc7\u8ba1\u7b97\u6bcf\u4e00\u4e2a\u5fc3\u7535\u548c\u8109\u640f\u6ce2\u5f62\u8ba1\u7b97\u5f97\u5230\u7684\u3002\u800c\u8109\u640f\u6ce2\u5f62\u662f\u901a\u8fc7\u624b\u6307\u6216\u8db3\u90e8\u8840\u6c27\u76d1\u6d4b\u5f97\u5230\u7684\u3002<\/p>\n

PEP\u548ca-PWTT<\/p>\n

PWTT\u5305\u542b\u4e86\u4e24\u4e2a\u90e8\u5206 PEP\uff08Pre-Ejection Period\uff09\u548ca-PWTT\uff08Pulse WaveTransit Time in the Artery\uff09\"\"<\/p>\n

a-PWTT\u4ee3\u8868\u4e86\u8109\u640f\u6ce2\u4ece\u4e3b\u52a8\u8109\u4f20\u8f93\u5230\u5916\u5468\u52a8\u8109\u7684\u65f6\u95f4\uff0c\u5b83\u4e0e\u8840\u538b\u6709\u7740\u76f4\u63a5\u7684\u5173\u7cfb\u3002\u4f46\u662f\u76ee\u524d\u6ca1\u6709\u624b\u6bb5\u6765\u76f4\u63a5\u68c0\u6d4b\u5230a-PWTT\u3002\u6211\u4eec\u80fd\u68c0\u6d4b\u5230PWTT\uff08\u5305\u542b\u4e86PEP\uff09\u3002<\/p>\n

PEP\u4ee3\u8868\u4e86\u8840\u538b\u4ece\u5fc3\u810f\u6cf5\u8840\u5230\u4e3b\u52a8\u8109\u7684\u65f6\u95f4\u3002\u901a\u5e38\u60c5\u51b5\u4e0b\uff0cPEP\u5728\u77ed\u65f6\u95f4\u5185\u7684\u53d8\u5316\u53ef\u4ee5\u5ffd\u7565\u4e0d\u8ba1\u3002\u56e0\u6b64\u6211\u4eec\u57fa\u672c\u53ef\u4ee5\u5047\u8bbePWTT\u7684\u53d8\u5316\u7b49\u540c\u4e8ea-PWTT\u7684\u53d8\u5316\u3002<\/p>\n

\u4f46\u662f\uff0c\u8840\u7ba1\u6d3b\u6027\u7c7b\u53ca\u7c7b\u4f3c\u836f\u7269\u4f1a\u5bfc\u81f4PEP\u663e\u8457\u53d8\u5316\uff0c\u4ece\u800c\u5f71\u54cd\u5230PWTT\u4e0e\u8840\u538b\u4e4b\u95f4\u7684\u8fd9\u79cd\u89c4\u5f8b\u3002<\/p>\n

\u5728\u5927\u591a\u6570\u60c5\u51b5\u4e0b\uff0c\u6211\u4eec\u53ef\u4ee5\u8bf4PWTT\u4e0ea-PWTT\u5177\u6709\u4e00\u81f4\u6027\u3002<\/p>\n

\u8840\u538b\u4e0e\u8109\u640f\u6ce2\u4f20\u8f93\u901f\u5ea6\u4e4b\u95f4\u7684\u5173\u7cfb<\/p>\n

\u5f53\u5fc3\u810f\u6cf5\u8840\u5230\u4e3b\u52a8\u8109\uff0c\u4f1a\u4ea7\u751f\u4e00\u4e2a\u538b\u529b\u6ce2\uff0c\u6cbf\u7740\u5916\u5468\u52a8\u8109\u4f20\u9012\u5230\u5168\u8eab\uff0c\u8fd9\u5c31\u662f\u6211\u4eec\u6240\u63d0\u5230\u7684\u8109\u640f\u6ce2\u3002<\/p>\n

\u8109\u640f\u6ce2\u7684\u4f20\u8f93\u901f\u5ea6\u4e0e\u5916\u5468\u52a8\u8109\u8840\u7ba1\u58c1\u7684\u5f20\u529b\u6709\u5173\u8054\u3002\u5f53\u8840\u538b\u53d8\u9ad8\u65f6\uff0c\u5982\u679c\u5916\u5468\u52a8\u8109\u8840\u7ba1\u58c1\u504f\u7d27\u504f\u786c\uff0c\u90a3\u8109\u640f\u6ce2\u4f20\u8f93\u5f97\u66f4\u5feb\u3002\u5f53\u8840\u538b\u53d8\u4f4e\u65f6\uff0c\u5982\u679c\u5916\u5468\u52a8\u8109\u8840\u7ba1\u58c1\u504f\u677e\u5f1b\uff0c\u90a3\u8109\u640f\u6ce2\u4f20\u8f93\u5f97\u66f4\u6162\u3002<\/p>\n

\"\"<\/p>\n

\u8fd9\u5c31\u597d\u6bd4\u4e8e\u4e00\u4e2a\u4e52\u4e53\u7403\u88ab\u6254\u5230\u4e00\u5f20\u786c\u53f0\u9762\u7684\u684c\u5b50\u4e0a\u65f6\uff0c\u4ed6\u7684\u53cd\u5f39\u662f\u8fc5\u901f\u6709\u529b\u7684\u3002\u5982\u679c\u628a\u4e52\u4e53\u7403\u6254\u5230\u4e00\u5f20\u67d4\u8f6f\u7684\u6bef\u5b50\u4e0a\uff0c\u6bef\u5b50\u4f1a\u5438\u6536\u7403\u7684\u53cd\u4f5c\u7528\u529b\uff0c\u53cd\u5f39\u4f1a\u5f88\u5f31\uff0c\u901f\u5ea6\u4f1a\u53d8\u6162\u3002<\/p>\n

PWTT\u5982\u4f55\u76d1\u6d4b\u8840\u538b\u53d8\u5316<\/p>\n

\u867d\u7136\u5b9e\u9645\u7684\u8840\u538b\u672c\u8eab\u4e0d\u80fd\u901a\u8fc7\u8109\u640f\u6ce2\u7684\u901f\u5ea6\u6765\u786e\u5b9a\uff0c\u4f46\u662f\u53ef\u4ee5\u901a\u8fc7\u8109\u640f\u6ce2\u901f\u5ea6\u7684\u53d8\u5316\u6765\u6307\u793a\u8840\u538b\u7684\u53d8\u5316\u3002\u56e0\u6b64\u6211\u4eec\u53ef\u4ee5\u5c06PWTT\u7528\u4e8e\u76d1\u6d4b\u8840\u538b\u7684\u53d8\u5316\u3002<\/p>\n

PWTT\u7684\u53d8\u5316\u8868\u660e\u8840\u538b\u6709\u6f5c\u5728\u7684\u53d8\u5316\u3002\u6bcf\u62cd\u7684PWTT\u4e0e\u6700\u540e\u4e00\u4e2aNIBP\u6d4b\u91cf\u7684PWTT\u8fdb\u884c\u4e86\u6bd4\u8f83\u3002\u5f53PWTT\u53d8\u5316\u8d85\u8fc7\u4e00\u4e2a\u9608\u503c\u65f6\uff0c\u5b83\u4f1a\u89e6\u53d1NIBP\u6d4b\u91cf\u5b9e\u9645\u8840\u538b\u3002<\/p>\n

\"\"<\/p>\n

\u60a8\u53ef\u4ee5\u589e\u52a0\u6216\u51cf\u5c11PWTT\u9608\u503c\uff0c\u4ee5\u5bf9\u5e94\u66f4\u5927\u6216\u66f4\u5c0f\u7684\u8840\u538b\u53d8\u5316\uff0c\u4ee5\u6b64\u6765\u8bbe\u7f6e\u9891\u7387\u66f4\u4f4e\u6216\u66f4\u9891\u7e41\u7684\u89e6\u53d1NIBP\u6d4b\u91cf\u3002<\/p>\n

\"\"<\/p>\n

\u6ce8\u610f\u4e8b\u9879\u53ca<\/span>\u9650\u5236<\/span><\/p>\n

PWTT\u6a21\u5f0f\u4e0d\u9002\u7528\u4e8e\u65b0\u751f\u513f\u3002<\/p>\n

\u5728\u4e0b\u8ff0\u60c5\u51b5\u4e0b\uff0cPWTT\u6a21\u5f0f\u4f1a\u6709\u9650\u5236\uff1a<\/p>\n

– <\/span>\u4f7f\u7528\u8840\u7ba1\u6d3b\u6027\u7c7b\u836f\u7269\u540e\u5bfc\u81f4\u7684\u8840\u538b\u5feb\u901f\u53d8\u5316\uff0c\u5982\u82ef\u80be\u4e0a\u817a\u7d20\uff0c\u5c3c\u5361\u5730\u5e73<\/div>\n
– <\/span>\u5916\u5468\u5faa\u73af\u4e0d\u826f\u5bfc\u81f4\u8109\u640f\u6ce2\u4e0d\u7a33\u5b9a<\/div>\n
– <\/span>\u4e25\u91cd\u5fc3\u5f8b\u5931\u5e38\u7684\u75c5\u4eba<\/div>\n
– <\/span>\u79fb\u52a8\u4e2d\u7684\u75c5\u4eba\uff0c\u6216\u8005\u75c5\u4eba\u5728\u6539\u53d8\u4f53\u4f4d\u65f6<\/div>\n
– <\/span>ESU\u5bfc\u81f4ECG\u566a\u97f3<\/a><\/div>\n
– <\/span>\u901a\u8fc7\u5c0f\u513f\u8db3\u90e8\u76d1\u6d4b\u8840\u6c27\u9971\u548c\u5ea6\u65f6<\/div>\n

\u5982\u679c\u75c5\u4eba\u4e3a\u5c0f\u513f\uff0c\u5728PWTT\u6a21\u5f0f\u4e0b\uff0c\u4e0d\u8981\u523b\u610f\u964d\u4f4eNIBP\u7684\u68c0\u6d4b\u9891\u7387\u3002\u8bf7\u6309\u7167\u65e5\u5e38\u7684\u76d1\u6d4b\u9891\u7387\u6765\u8bbe\u7f6eNIBP\u76d1\u6d4b\u95f4\u671f\uff0c\u65e0\u8bbaPWTT\u6a21\u5f0f\u6253\u5f00\u4e0e\u5426\u3002<\/p>\n

\u76f8\u5173<\/span>\u6587\u732e<\/span><\/p>\n

1. Gribbin<\/span> B: Pulse Wave Velocity as a Measure of Blood Pressure Change. Psychophysiology 13:86-90, 1976<\/span><\/div>\n
2. Ochiai<\/span> R: The Relationship <\/span>Between<\/span> Modified Pulse Wave Transit Time and Cardiovascular Changes in Isoflurane Anesthetized Dogs. Journal of Clinical Monitoring and Computing 15:493-501, 1999<\/span><\/div>\n
3. Ochiai<\/span> R: Detection of Cardiovascular Instability by Pulse Wave Transit Time. Anesthesiology V91, No 3A:A549, 1999 [ASA Abstract]<\/span><\/div>\n
4. Ochiai<\/span> R et al: Mechanism Affecting Relationship <\/span>Between<\/span> Pulse Wave Transit Time and Blood Pressure in Isoflurane Anesthetized Dogs. Anesthesia & Analgesia, 86:S222, 1998 [IARS abstract]<\/span><\/div>\n
5. Sugo<\/span> Y: The Effect of the Pre-ejection Period Included in the Pulse Wave Transit Time. APCMBE: 4th Asia-Pacific Conference on Medical & Biological Engineering (APCMBE ’99) PS-168, 1999 [APCMBE abstract]<\/span><\/div>\n
6. Sugo<\/span> Y et al: Comparison of the Relationship <\/span>Between<\/span> Blood Pressure and Pulse Wave Transit Times at Different Sites. Proceedings of The First Joint BMES\/EMBS Conference, 222, 1999 [IEEE abstract]<\/span><\/div>\n
7. Wipperman<\/span> CF: Evaluation of the Pulse Wave Arrival Time as a Marker for Blood Pressure Changes in Critical Ill Infants and Children. Journal of Clinical Monitoring, vol. 11 No.5, September, 1995<\/span><\/div>\n

 <\/p>\n","protected":false},"excerpt":{"rendered":"

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