不同系统在老年脓毒症休克患者持续有创血压监测中的应用效果比较  

Comparison of application effects of different systems in continuous invasive blood pressure monitoring in elderly patients with septic shock

作　　者：刘光娣[1,2] 唐荔 刘逸文[2,3] 李倩 LIU Guangdi;TANG Li;LIU Yiwen;LI Qian(Department of Respiratory and Critical Care Medicine,West China Hospital,Sichuan University,Sichuan Province,Chengdu 610041,China;West China College of Nursing,Sichuan University,Sichuan Province,Chengdu 610041,China;Department of Critical Care Medicine,West China Hospital,Sichuan University,Sichuan Province,Chengdu 610041,China)

机构地区：[1]四川大学华西医院呼吸与危重症医学科,四川成都610041 [2]四川大学华西护理学院,四川成都610041 [3]四川大学华西医院重症医学科,四川成都610041

出　　处：《中国医药导报》2022年第7期173-176,共4页China Medical Herald

基　　金：四川省科技厅重点研发项目(2019YFS0292)。

摘　　要：目的探讨不同系统应用于老年脓毒症休克患者持续有创血压监测通路保护的效果。方法选择2020年5月至2021年5月四川大学华西医院80例安置动脉压力监测导管的老年脓毒症休克患者,采用随机数字表法分为实验组和对照组,每组各40例。实验组采用全封闭系统对动脉压力监测进行通路保护,对照组给予一般系统,比较两组术后导管保留时间、导管并发症、动脉测压系统稳定性及舒适度。结果实验组导管留置时间长于对照组,实验组单次采集血气分析标本耗时短于对照组,差异有统计学意义(P<0.05)。实验组渗血率、红肿率、堵管率、并发症发生率低于对照组,差异有统计学意义(P<0.05)。两组数值异常次数与波形异常次数比较,差异无统计意义(P>0.05)。实验组舒适度高于对照组,差异有统计学意义(P<0.05)。结论全封闭系统在保持动脉测压系统稳定性方面与一般系统效果相同,可减少并发症发生,提高患者舒适程度。Objective To explore the effect of different systems in the protection of access for continuous invasive blood pressure monitoring in elderly patients with septic shock.Methods A total of 80 elderly patients with septic shock who were placed with arterial pressure monitoring catheters in West China Hospital of Sichuan University from May 2020 to May 2021 were selected and divided into experimental group and control group by random number table method,with 40 cases in each group.The experimental group was given a total closed system to monitor the arterial pressure for access protection,while the control group was given the general system.The postoperative catheter retention time,catheter complications,stability,and comfort of the arterial pressure measurement system were compared between the two groups.Results The catheter indwelling time in the experimental group was longer than that in the control group,while the time for a single collection of blood gas analysis specimens in the experimental group was shorter than that in the control group,and the difference was statistically significant(P<0.05).The bleeding rate,swelling rate,tube blocking rate,and complication rate in the experimental group were lower than those in the control group,and the differences were statistically significant(P<0.05).There was no statistically significant difference in the number of abnormal numerical values and the number of abnormal waveforms between the two groups(P>0.05).The comfort level of the experimental group was higher than that of the control group,and the difference was statistically significant(P<0.05).Conclusion The fully closed system has the same effect as the general system in maintaining the stability of the arterial pressure measurement system,which can reduce the occurrence of complications and improve the patient’s comfort.

关 键 词：脓毒症休克 老年患者 动脉导管 压力监测系统 

分 类 号：R473.5[医药卫生—护理学]