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目的:评价和分析产后出血性休克患者应用有创血压监测的临床效果。方法:随机选取2012年2月~2015年6月来本院分娩并发产后出血性休克患者92例为研究对象,测量收缩压<90 mm Hg者为1组(32例),收缩压在90~140 mm Hg为2组(30例),收缩压>140 mm Hg为3组(30例),同时对三组进行有创血压和无创血压监测。结果:术后收缩压监测的一致性情况:1组中两种监测方法平均差值为-4.9 mm Hg,2组为2.0 mm Hg,3组为16.8 mm Hg;1组超上限、超下限范围数为0,12.50%;2组超上限、超下限范围数为16.00%,12.00%;3组超上限、超下限范围数为6.67%,0。(2)1组中两种监测方法平均差值为-3.0 mm Hg,2组为-4.1 mm Hg,3组为0.4 mm Hg;1组超上限、超下限范围数为15.63%,12.50%;2组超上限、超下限范围数为4.00%,8.00%;3组超上限、超下限范围数为8.57%,22.86%。结论:有创血压监测可以更细微地监测患者血压的异常情况,准确为医护人员提供患者的基本情况。
OBJECTIVE: To evaluate and analyze the clinical effects of invasive blood pressure monitoring in patients with postpartum hemorrhagic shock. Methods: A total of 92 patients with labor and postpartum hemorrhagic shock in our hospital from February 2012 to June 2015 were enrolled in this study. One group (n = 32) with systolic blood pressure <90 mm Hg and a systolic blood pressure 140 mm Hg in 2 groups (30 cases) and systolic blood pressure> 140 mm Hg in 3 groups (30 cases). The invasive blood pressure and noninvasive blood pressure monitoring were performed in the three groups at the same time. Results: The consistency of postoperative systolic blood pressure monitoring: the mean difference between the two monitoring methods in group 1 was -4.9 mm Hg, 2.0 mm Hg in group 2 and 16.8 mm Hg in group 3. The upper and lower limits The number was 0, 12.50%; the upper limit of the two groups exceeded the range of the lower limit of 16.00%, 12.00%; the upper limit of the three groups, the range of the lower limit of 6.67%, 0. (2) The average difference between the two methods in the first group was -3.0 mm Hg, the second group was -4.1 mm Hg, and the third group was 0.4 mm Hg. In the first group, the upper limit was exceeded and the range of the lower limit was 15.63% and 12.50% respectively. The upper limit of the two groups exceeded the limits of 4.00% and 8.00% respectively. The upper limits of the three groups exceeded 8.57% and the lower limits were 22.86%. CONCLUSIONS: Intrusive BP monitoring can monitor the patient’s blood pressure more closely and accurately provide basic information about the patient.