危重病人无创伤动脉血压监测的相关因素研究  

Research on Related Factors of Non-invasive Arterial Pressure Monitoring in Intensive Patients

作　　者：贾克侠[1] 李洪俊[1] 甘鸿燕[1] 

机构地区：[1]山东省济宁市第一人民医院急诊科,山东济宁272111

出　　处：《实用护理杂志》2001年第10期3-5,共3页Journal of Practical Nursing

摘　　要：目的　在危重病人中 ,研究影响心电监护仪测量血压的相关因素。方法　共 4 5例病人 ,根据上臂周长分成 3组 ,分别进行心电监护仪测量、听诊器法卧式血压计测量血压。结果　在二者比较中 ,其差值是 ( - 3 .5 4± 2 .84 )mmHg(收缩压 )、( - 4 .82± 1.3 3 )mmHg(舒张压 ) ;82 3 4 %的差值小于 10mmHg ,而有 17 67%的差值大于 10mmHg。使用强心剂亦对测量血压产生影响 ,而且 ,不同的袖带 (即 1组与 2、3组 )之间均存在差异。结论　在危重病人中 ,虽然心电监护仪测量血压存在偏差 。Objective\ To evaluate the related factors of non-invasive arterial pressure monitoring in critical patients.Methods\ Fourty-five critical patients were categorized into there groups according to their upper-arm circumference.In each patient,we performed an electrocardiographic monitoring blood pressure measurement.Then,we used auscultator sphygmomanometer to measure blood pressure.Result\ There were difference between eletrocardiographic monitoring and auscultator sphygmomanometer blood pressure measurement.The blood pressure measurement in 45 patients,82.34% had a discrepancy of <10 mmHg,17.67% had a discrepancy of >10 mmHg.Conclusion\ The electrocardiographic monitoring blood pressure measurement was difference from auscultator sphygmomanometer blood pressure measurement,but most of all measurement were in the clinically acceptable range.

关 键 词：无创伤性 危重病人 动脉血压 相关因素 

分 类 号：R459.7[医药卫生—急诊医学] R443.5[医药卫生—治疗学]