摘要
目的针对重症患者不同病理状态下有创血压测量与无创血压测量间的差异性及其相关性进行研究。方法随机选择本院神经外科收治的脑出血患者90例作为研究对象,平均分为实验1组（收缩压〈90 mm Hg）、实验2组（收缩压在90-140 mm Hg）、实验3组（收缩压≥140 mm Hg）。对有创血压和无创血压测量结果进行对比分析。结果实验1组有创血压（舒张压和收缩压）与无创血压（舒张压和收缩压）值比较,具有统计学意义（P〈0.05）;实验2组无差异（P〉0.05）;实验3组差异显著（P〈0.05）;有创血压舒张压值低于无创血压舒张压（P〈0.05）。实验1、2、3组有创血压和无创血压的相关系数分别为0.584、0.493,0.833、0.847,0.654、0.678,实验1组和实验3组与实验2组比较差异显著（P〈0.05）。结论危重症患者不同病理状态下有创血压和无创血压存在一定差异,对高、低血压患者实施有创血压测量,可及时准确的掌握血压变化,为治疗提供帮助,提高抢救成功率。
Objective To research the differences between invasive blood pressure and non- invasive blood pressure of critical patients at different pathological status.Methods Ninety cases of cerebral hemorrhage patients admitted in our hospital were randomly selected,and were averagely divided into experimental group 1（ systolic blood pressure 90 mm Hg）,experiment group 2（ systolic blood pressure in 90 ~ 140 mm Hg）,experiment 3 groups（ systolic blood pressure ≥140 mm Hg）.The results of invasive and noninvasive blood pressure measurement were analyzed.Results： There was statistical significance in the comparison between invasive blood pressure（ diastolic and systolic blood pressure） and noninvasive blood pressure（ diastolic and systolic blood pressure） in experiment 1 group（ P 〈0.05）; No statistical significance in the experiment group 2（ P 〉0.05）; Significant statistical significance in the experiment group 3（ P〈 0.05）.Diastolic blood pressure of invasive blood pressure was lower than that of noninvasive blood pressure（ P〈 0.05）,Correlation coefficient of invasive blood pressure and noninvasive blood pressure in experiment group 1,2,3 were 0.584,0.493,0.833,0.847,0.654 and 0.678; Statistical significance was found in the comparison between experiment group 1 and experiment group 3（ P〈 0.05）.Conclusions There was some difference in invasive blood pressure and non- invasive blood pressure of critical patients at different pathological status.Implementation of invasive blood pressure measurement in patients with high and low blood pressure can be timely and accurate grasp of the patient＇s blood pressure changes,and is helpful for the treatment and promoting the clinical rescue success rate.
作者
黄程
王少雄
刘宏浩
周德才
程国庆
黄仕斌
李茂隆
陈家扬
胡少敏
HUANG Cheng WANG Shao-xiong LIU Hong-hao ZHOU De-cai CEHNG Guo-qing HUANG Shi-bin LI Mao-long CHEN Jia-yang HU Shao-min(The Third Hospital of Haikou , Hainan 571100, China)
出处
《中国地方病防治》
CAS
北大核心
2016年第9期981-981,1047,共2页
Chinese Journal of Control of Endemic Diseases
基金
海南省自然科学基金项目资助(项目编号:20158356)
关键词
危重症
有创血压测量
无创血压测量
差异性
相关性
Critically ill
Invasive blood pressure measurement
Noninvasive blood pressure measurement
Difference
Correlation
