休克患者直接血压和间接血压值的比较  

Compare of the difference between the invasive blood pressure and the non-invasive blood pressure in shock patients

作　　者：温书敏[1] 罗林丽[2] 周良学[3] 

机构地区：[1]内江市第一人民医院感染科,四川内江641000 [2]四川大学华西第二医院麻醉科 [3]四川大学华西医院神经外科

出　　处：《西部医学》2010年第1期84-85,共2页Medical Journal of West China

摘　　要：目的比较休克患者直接血压和间接血压之间的差异。方法对15例出血性休克患者的直接血压和间接血压进行共150次测量,分析两种测量方法得出的收缩压、舒张压、平均动脉压和脉压差之间的关系。结果直接血压的收缩压高于间接血压测量结果,而舒张压在两种方法间相近。结论休克患者间接血压不能准确反映患者直接血压的真实水平。Objective To compare the difference between the invasive blood pressure and the non-invasive blood pressure in shock patients. Methods The invasive and non-invasive blood pressure of 15 shock patients were measured simultaneously. The relationship of systolic blood pressure, diastolic blood pressure, mean blood pressure and pulse pressure difference were analyzed. Results The value of systolic blood pressure, mean blood pressure and pulse pressure difference measured by invasive blood pressure were significantly higher than those measured by non-invasive blood pressure monitoring（P〈0.05）. But there is no difference in the value of diastolic blood pressure between two methods（P〈0.05）. Conclusions The non-invasive blood pressure can not represent the real level of invasive blood pressure in shock patients. The measure value of non-invasive underestimate the invasive value of systolic blood pressure, mean blood pressure and pulse pressure difference.

关 键 词：血压监测 直接血压 间接血压 休克 

分 类 号：R614.3[医药卫生—麻醉学]