NRDS早产儿生后72小时内经脐动脉置管有创动脉测压初探  

作　　者：张家杰 夏晓芹 张志刚 赖宝添 张松青 

机构地区：[1]中山大学附属东华医院新生儿科,广东东莞523110

出　　处：《临床医药文献电子杂志》2020年第86期7-8,14,共3页Electronic Journal of Clinical Medical Literature

摘　　要：目的探讨合并新生儿呼吸窘迫综合征(NRDS)早产儿经脐动脉置管测得有创动脉血压的变化特征。方法选择2018年12月—2020年10月在我院新生儿重症监护病房经脐动脉置管测定有创动脉血压的NRDS早产儿进行回顾性分析。每6小时收集期间的血压监测值并计算有创动脉血压均值和95%可信区间,分析各时间段内有创动脉血压的变化特征,直至72小时。结果纳入分析共31例NRDS早产儿,共采集700个有创动脉血压测量数据。生后72小时内有创动脉均压平均值呈逐渐升高的趋势(38.23±7.78mmHg^43.82±6.39mmHg);95%可信区间(95%CI)在:33.53~42.93mmHg及41.29~46.35mmHg之间。结论经脐动脉有创动脉血压监测能反映NRDS早产儿血压随生后日龄的增加而渐上升的规律,且测压结果的一致性和稳定性较好,具有重要的临床意义。Objective To investigate the changes of invasive arterial blood pressure in preterm infants with neonatal respiratory distress syndrome(NRDS)by umbilical artery catheterization.Methods NRDS premature infants with invasive arterial blood pressure were retrospectively analyzed in neonatal intensive care unit from December 2018 to October 2020.Blood pressure monitoring values were collected every 6 hours and mean blood pressure values and 95%confidence intervals were calculated,To analyze the changes of blood pressure of invasive arteries,Until 72 hours.Results A total of 31 NRDS premature infants were analyzed,Total Blood pressure measurements of 700 invasive arteries.The mean arterial pressure increased gradually within 72 hours after birth(38.23±7.78 mmHg^43.82±6.39 mmHg)and 95%confidence interval(95%)was between:33.53~42.93 mmHg and 41.29~46.35 mmHg.Conclusion Transumbilical artery blood pressure monitoring can reflect the increasing regularity of NRDS premature infants'blood pressure with the increase of postnatal age,and the consistency and stability of the results are good,which has important clinical significance.

关 键 词：新生儿呼吸窘迫综合征 早产儿 有创动脉血压 

分 类 号：R722[医药卫生—儿科]