摘要
目的了解休克患者有创连续测血压法、汞柱式血压计测血压法、电子血压计测血压法三种方法测量结果的一致性,为临床正确选择血压测量方法提供依据。方法同时用三种方法测量68例休克患者入院11 h的血压1 224例次,比较三种方法测得的收缩压。结果当患者有创收缩压<60 mmHg时,有创连续测血压法的测量值与汞柱式血压计测量结果比较,差异无显著性意义(均P>0.05),而电子血压计测血压法的测量值显著高于前两者(均P<0.01);当患者有创收缩压≥60 mmHg时,三种方法测量结果接近,差异无显著性意义(P>0.05)。结论为休克患者测量血压时,宜使用汞柱式血压计或有创连续血压测量方法,不宜使用电子血压计测量血压。
Objective To explore the concordance of BP results measured by invasive continuous BP measurement method, mercury sphygmomanometer and electrosphygmomanometer respectively. Methods Three measurements were used to measure the BP of 68 shock patients for 1224 times within 11 h of admission. Results When the systolic arterial blood pressure （SBP） 〈60 mmHg, there was no significant difference between the results of invasive continuous BP measurement and mercury sphygmomanometer BP measurement （P〉0.05 for all）, while the BP values measured by electrosphygmomanometer BP measurement were greater than those measured by the other two measurements （P〈 0.01 for all）. When the SBP≥60 mmHg, there were no significant differences among the three measurements （P〉 0.05）. Conclusion The invasive continuous BP measurement or mercury sphygmomanometer BP measurement is more accurate in the case of shock.
关键词
休克
血压测量
电子血压计
汞柱式血压计
有创连续测血压法
shock
BP measurement
electrosphygmomanometer
mercury sphygmomanometer
invasive continuous BP measurement
