Objective: To evaluate the diagnostic value of different artery peak velocity(△Vpeak) in predicting fluid responsiveness. Methods: Databases of PubMed, Embase, Medline, Cochrane Library, CBM, Wanfang, CNKI and Veipu were retrieved. According to the inclusion and exclusion criteria,the retrieved documents from the reservoir to May 2019 were screened by two search members. Referencing QUADAS entries, the quality of included literatures were evaluated. The original data included in the literatures were summarized. Stata 15.0 was used to analyze the related literatures. Results: A total of 15 articles were included in the study. The pooled sensitivity were estimated as 0.71(0.63-0.78), 0.87(0.77-0.93), 0.83(0.74-0.91)and 0.79(0.74-0.83); the pooled specificity were estimated as 0.85(0.78-0.90), 0.85(0.76-0.91), 0.84(0.73-0.91) and 0.85(0.81-0.89); the pooled positive likelihood ratios were estimated as 4.7(3.1-7.0), 5.8(3.5-9.5), 5.1(2.9-8.8) and 5.3(4.1-6.9); the pooled negative likelihood ratios were estimated as 0.34(0.26-0.44), 0.16(0.09-0.27), 0.21(0.13-0.32) and 0.25(0.20-0.31); the diagnosed odd ratio were 14(8-25), 37(18-77), 24(10-58) and 21(15,31); AUC of SROC were 0.86(0.82-0.88),0.92(0.90-0.94),0.89(0.86-0.91) and 0.89(0.86-0.92) for △Vpeak of brachial, carotid, aortic and all arteries, respectively. Conclusion: Ultrasonic measurement of artery △Vpeak, especially carotid artery, has a high value in predicting fluid responsiveness in critical patients.