《中心静脉压测量技术》团体标准解读

doi:10.3761/j.issn.0254-1769.2025.01.007

摘要/Abstract

摘要：

中心静脉压是临床常用的血流动力学指标，其测量结果的准确性受测量技术规范性的影响。该文根据研究证据与临床实践，对《中心静脉压测量技术》团体标准的主要内容进行解读，并提出使用建议，以指导医护人员正确认识中心静脉压测量技术、规范测量方法，保障测量结果的准确性。

关键词: 中心静脉压, 测量技术, 护理标准, 标准解读

Abstract:

Central venous pressure（CVP） is a commonly used hemodynamic index in clinical practice，and the accuracy of its measurement results is influenced by the measurement technical specifications. Based on research evidence and clinical practice，this article interprets the main content of the group standard of CVP measurement technology，and proposes suggestions for its use. It aims to guide clinical nursing staff to correctly understand the principles and methods of CVP measurement，and promote the standardization of nursing practice and the accuracy of measurement results.

Key words: Central Venous Pressure, Measurement Technology, Standard of Care, Standard Interpretation

赵明曦, 关欣, 孙红, 马鸿鸣, 冯悦颖, 余萌, 邹灯秀, 罗红波, 李尊柱, 井杰, 吴欣娟. 《中心静脉压测量技术》团体标准解读[J]. 中华护理杂志, 2025, 60(1): 47-51.

ZHAO Mingxi, GUAN Xin, SUN Hong, MA Hongming, FENG Yueying, YU Meng, ZOU Dengxiu, LUO Hongbo, LI Zunzhu, JING Jie, WU Xinjuan. Interpretation of the group standard for measurement technique of central venous pressure[J]. Chinese Journal of Nursing, 2025, 60(1): 47-51.

参考文献 27

[1]	刘大为, 王小亭, 张宏民, 等. 重症血流动力学治疗:北京共识[J]. 中华内科杂志, 2015, 54(3):248-271.
	Liu DW, Wang XT, Zhang HM, et al. Hemodynamic treatment of severe cases-Beijing consensus[J]. Chin J Intern Med, 2015, 54(3):248-271.
[2]	Song XD, Li JL, Li SH, et al. Exploring the optimal range of central venous pressure in sepsis and septic shock patients:a retrospective study in 208 hospitals[J]. Am J Med Sci, 2024, 368(4):332-340.
[3]	李莘, 马丽, 刘杰, 等. 不同水平控制性低中心静脉压技术用于腹腔镜肝切除术患者安全性及有效性研究[J]. 临床军医杂志, 2024, 52(4):369-373.
	Li S, Ma L, Liu J, et al. Safety and effectiveness of different levels of controlled low central venous pressure in patients undergoing laparoscopic liver resection[J]. Clin J Med Off, 2024, 52(4):369-373.
[4]	Chen H, Zhu Z, Zhao CY, et al. Central venous pressure measurement is associated with improved outcomes in septic patients:an analysis of the MIMIC-Ⅲ database[J]. Crit Care, 2020, 24(1):433.
[5]	Wang L, Hu LX, Yan DQ, et al. Intraoperative central venous pressure during cardiopulmonary bypass is an alternative indicator for early prediction of acute kidney injury in adult cardiac surgery[J]. J Cardiothorac Surg, 2024, 19(1):262. DOI PMID
[6]	关欣, 王蕾, 罗家音, 等. 中心静脉压测量操作状况的调查[J]. 中华现代护理杂志, 2015, 21(4):423-426.
	Guan X, Wang L, Luo JY, et al. Investigation of the current status of central venous pressure measurement operation[J]. Chin J Mod Nurs, 2015, 21(4):423-426.
[7]	赵明曦, 郭海凌, 何怀武, 等. ICU医护人员中心静脉压测量流程及临床应用现状调查[J]. 护理学杂志, 2020, 35(21):66-69.
	Zhao MX, Guo HL, He HW, et al. Central venous pressure measurement process and clinical practices in ICU[J]. J Nurs Sci, 2020, 35(21):66-69.
[8]	赵明曦, 李奇, 罗红波, 等. 中心静脉压测量的最佳证据总结[J]. 中华护理杂志, 2021, 56(10):1552-1560. DOI URL
	Zhao MX, Li Q, Luo HB, et al. Measurement techniques of central venous pressure in adult patients:a summary of best evidence[J]. Chin J Nurs, 2021, 56(10):1552-1560. DOI URL
[9]	中华护理学会. 中心静脉压测量技术:T_CNAS 36-2023[S/OL]. (2023-10-18)[2024-01-01]. http://hltb.kxj.org.cn/uploads/admin/202310/652f318d6e979.pdf.
	Chinese Nursing Association. Techniques for central venous pressure measurement:T_CNAS 36-2023[S/OL]. (2023-10-18) [2024-01-01]. http://hltb.kxj.org.cn/uploads/admin/202310/652f318d6e979.pdf.
[10]	蒋双彦, 郑静, 张舒, 等. 心脏外科重症监护病房护理人员中心静脉压测量管理的循证实践[J]. 中国中西医结合急救杂志, 2023, 30(2):208-212.
	Jiang SY, Zheng J, Zhang S, et al. Evidence-based practice in the management of central venous pressure measurements by nursing staff in a cardiac surgery intensive care unit[J]. Chin J Integr Tradit West Med Intensive Crit Care, 2023, 30(2):208-212.
[11]	Renganathan S, Ramji R, Sc GP. Influence of various positive airway pressure levels on catheterization of the right internal jugular vein[J]. Asian J Med Sci, 2024, 15(2):33-38.
[12]	Scott SS, Giuliano KK, Pysznik E, et al. Influence of port site on central venous pressure measurements from triple-lumen catheters in critically ill adults[J]. Am J Crit Care, 1998, 7(1):60-63. PMID
[13]	关欣, 王蕾, 罗家音, 等. 双腔中心静脉导管不同管腔测量中心静脉压的比较研究[J]. 中华护理杂志, 2015, 50(9):1064-1066.
	Guan X, Wang L, Luo JY, et al. A comparison of central venous pressure measured through different lumens of double-lumen central venous catheter[J]. Chin J Nurs, 2015, 50(9):1064-1066.
[14]	程秀玲, 杨万杰, 安友仲, 等. 中心静脉导管与压力传感器之间加入三通接头对中心静脉压数值的影响[J]. 中华危重病急救医学, 2015(8):691-694.
	Cheng XL, Yang WJ, An YZ, et al. The influence of joining central venous catheter and pressure transducer with T-junc-tions on central venous pressure[J]. Chin Crit Care Med, 2015(8):691-694.
[15]	Karmacharya N, Bhattarai MD, Pradhan A. The identical external reference point standardized to the zero-reference level for measuring both central and jugular venous pressures:an observational study[J]. Crit Care Res Pract, 2022,2022-7329863.
[16]	Magder S. Invasive hemodynamic monitoring[J]. Crit Care Clin, 2015, 31(1):67-87. DOI PMID
[17]	袁翠, 肖艳艳, 王轶, 等. 北京市三级医院ICU患者外周动脉导管留置与维护情况的调查研究[J]. 中华护理杂志, 2021, 56(6):861-866. DOI URL
	Yuan C, Xiao YY, Wang Y, et al. Investigation on the current situation of peripheral arterial catheter indwelling and maintenance in ICU of Beijing tertiary hospitals[J]. Chin J Nurs, 2021, 56(6):861-866. DOI URL
[18]	Quaal SJ. Improving the accuracy of pulmonary artery catheter measurements[J]. J Cardiovasc Nurs, 2001, 15(2):71-82. PMID
[19]	De Backer D, Vincent JL. Should we measure the central venous pressure to guide fluid management? Ten answers to 10 questions[J]. Crit Care, 2018, 22(1):43.
[20]	罗红波, 何怀武, 郭海凌, 等. 重症患者呼气末读取中心静脉压与监护仪直接示数的比较分析[J]. 中国护理管理, 2017, 17(7):995-998.
	Luo HB, He HW, Guo HL, et al. Compare the two methods of central venous pressure measurement by automatic reading and end-expiratory manual reading in critical patients[J]. Chin Nurs Manag, 2017, 17(7):995-998.
[21]	孙骎, 常炜, 潘纯, 等. 呼气末正压对不同胸壁弹性阻力患者中心静脉压的影响[J]. 中华内科杂志, 2021, 60(11):960-964. PMID
	Sun Q, Chang W, Pan C, et al. The effects of positive end-expiratory pressure on central venous pressure in patients with different chest wall elastic resistance[J]. Chin J Intern Med, 2021, 60(11):960-964. DOI PMID
[22]	付艳芳. 不同呼气末正压机械通气及不同体位对呼吸衰竭患者中心静脉压的影响研究[J]. 临床研究, 2021, 29(6):160-161.
	Fu YF. Study on the influence of different positive end-expiratory pressure mechanical ventilation and different positions on central venous pressure in patients with respiratory failure[J] Clin Res, 2021, 29(6):160-161.
[23]	白国欣, 高平, 张培花, 等. 不同浓度肝素冲洗液对老年患者CVP监测中凝血机制的影响[J]. 护理实践与研究, 2014, 11(4):115-116.
	Bai GX, Gao P, Zhang PH, et al. Effect of different concentrations of heparin irrigation solution on coagulation mechanism in CVP monitoring of elderly patients[J]. Nurs Pract Res, 2014, 11(4):115-116.
[24]	高鹏, 尹彦玲. 生理盐水持续加压冲洗在中心静脉压监测中的应用[J]. 中西医结合护理(中英文), 2017, 3(3):88-89.
	Gao P, Yin YL. Application of continuous pressure washing with normal saline in central venous pressure monitoring[J]. Nurs Integr Tradit Chin West Med, 2017, 3(3):88-89.
[25]	国家卫生健康委办公厅. 血管导管相关感染预防与控制指南(2021版)[EB/OL]. (2020-03-30)[2024-01-12]. http://www.nhc.gov.cn/yzygj/s7659/202103/dad04cf7992e472d9de1fe6847797e49/files/e2b49e72f2484d7f9d3e8b9c2f6d261c.pdf.
	General Office of the National Health Commission. Guidelines for prevention and control of catheter-related infections(2021 edition)[EB/OL].(2020-03-30)[2024-01-12]. http://www.nhc.gov.cn/yzygj/s7659/202103/dad04cf7992e472d9de1fe6847797e49/files/e2b49e72f2484d7f9d3e8b9c2f6d261c.pdf.
[26]	Hansen BD. Technical aspects of fluid therapy[M]// Fluid,electrolyte,and acid-base disorders in small animal practice. Amsterdam:Elsevier,2006:344-376.
[27]	周姓良, 陈燕河, 肖素飞, 等. 规范双腔中心静脉导管与三通接头连接方式对中心静脉压测量的影响[J]. 中华护理杂志, 2016, 51(10):1247-1249.
	Zhou XL, Chen YH, Xiao SF, et al. Influence of standardizing the connection mode between double-lumen central venous catheter and tee joint on central venous pressure measurement[J]. Chin J Nurs, 2016, 51(10):1247-1249.

编辑推荐 0

Metrics

阅读次数

全文

HTML			PDF

最新录用	在线预览	正式出版	最新录用	在线预览	正式出版
0	0	10	0	0	44

来源	本网站	其他网站

次数	54	0
比例	100%	0%

摘要

1137

最新录用	在线预览	正式出版

0	0	1137

	来源	本网站

	次数	1137
	比例	100%