不同角度侧卧位对血压测量值的影响  

Blood Pressure Values During Changing from Supine Position to Various Lateral Positions

作　　者：刘晓敏[1] 吴泽秀[1] 

机构地区：[1]泸州医学院附属医院ICU,四川泸州646000

出　　处：《护理学杂志》2009年第5期55-56,共2页

摘　　要：目的观察不同角度侧卧位对血压测量值的影响。方法测量60例ICU患者,平卧位(右侧0°侧卧)、右侧30°和右侧90°卧位时左上肢肱动脉的收缩压(SBP)和舒张压(DBP),并进行自身配对方差分析和多个样本均数的两两比较。结果从平卧位到右侧30°、90°卧位,左上肢肱动脉的SBP和DBP测量值逐步下降,三种角度侧卧位的SBP和DBP测量值差异有统计学意义(均P<0.01)。结论侧卧的角度改变对SBP和DBP测量结果有显著影响,对于须连续监测血压的卧床患者,尤其是在临界状态下,更应注意避免侧卧角度对血压值的影响。Objective To explore the blood pressure values during changing from supine position to various lateral positions. Methods Systolic blood pressure （SBP） and diastolic blood pressure （DBP） of left upper limb at brachial artery of 60 ICU patients were taken at such various positions as supine, 30-degree and 90-degree right lateral, respectively. Results SBP and DBP values of left upper limbs descended step by step from supine, 30-degree and 90-degree right lateral position, and there were significant differences in SBP and DBP values taken at the 3 positions （P〈0.01 for all）. Conclusion As the angle of lateral position increased, the SBP and DBP values changed significantly. As regard to bedbound patients, particularly those in critical condition who need continuous BP monitoring, the effect of lateral decubitus angle on blood pressure value should be paid more attentionto.

关 键 词：不同角度 侧卧位 卧床患者 血压 

分 类 号：R472[医药卫生—护理学]