摘要
目的探讨心源性休克患者在休克纠正前后无创血压(NBP)和有创血压(IBP)监测数值之间的差别。方法选择26例心源性休克患者,根据监测方法不同分为A组(NBP组)与B组(IBP组),同步记录肱动脉NBP与桡动脉IBP的收缩压(SBP)与舒张压(DBP)水平。结果当NBP监测SBP<90mmHg,A组监测SBP、DBP值均显著高于B组(均P<0.05)。休克纠正后SBP90～110mmHg,A组监测SBP值显著高于B组(P<0.05),而DBP显著低于B组(P<0.05);SBP≥110mmHg,A组监测SBP、DBP值均显著低于B组(均P<0.05)。结论 NBP和IBP监测数值存在一定程度的差别。休克纠正前及纠正后初期,无创血压监测可能高于实际血压水平;休克纠正后当SBP≥110mmHg,可以用无创血压监测代替有创血压监测。
Objective To explore the difference between invasive and non-invasive blood pressure monitoring before and after correction of cardiac shock. Methods A total of 26 subjects were selected in the study,which were divided into A（NBP group） and B（IBP group） groups according to the different monitoring methods. The levels of SBP and DBP were simultaneously recorded. Results The values of SBP and DBP in group A were significantly higher than those in group B when SBP was less than 90mmHg （all P〈0.05）. Compared with group B, when SBP was measured in a range from 90 to 110mmHg after correction of cardiac shock, the value of SBP in group A was significantly increased （P〈0.05）, but it was adverse about the value of DBP （P〈0.05）. When SBP was more than 110mmHg, the values of SBP and DBP in group A were significandy higher than those in group B （all P〈0.05）. Conclusion The values were different between invasive and non-invasive blood pressure monitoring before and after correction of cardiac shock. The value of non-inva- sive blood pressure monitoring may be higher than that of invasive blood pressure monitoring before and the initial stage of post-correction of cardiac shock, but after correction of cardiac shock, it can be replaced by non-invasive blood pressure monitoring when SBP is more than 110mmHg.
出处
《热带病与寄生虫学》
2011年第4期217-218,200,共3页
Journal of Tropical Diseases and Parasitology
关键词
心源性休克
无创
有创
血压监测
Cardiac shock, Invasive, Non-invasive, Blood pressure monitoring
