无创血压监测和有创血压监测在急诊科心源性休克患者中的效果  

Effectiveness of non-invasive blood pressure monitoring and invasive blood pressure monitoring in patients with cardiogenic shock in emergency department

作　　者：黄育新[1] HUANG Yuxin(Department of Emergency ICU,Fuzhou First People's Hospital,Jiangxi Province,Fuzhou344000,China)

机构地区：[1]江西省抚州市第一人民医院急诊ICU科,江西抚州344000

出　　处：《中国当代医药》2023年第35期188-191,共4页China Modern Medicine

基　　金：江西省抚州市社会发展指导性科技计划项目(抚科计字【2020】20号序列号29)。

摘　　要：目的探究无创血压(NBP)监测和有创血压(IBP)监测在急诊科心源性休克(CS)患者中的效果。方法选取2020年1月至2023年4月抚州市第一人民医院收治的60例CS患者作为研究对象,采用抽签法将其分为对照组(30例)和干预组(30例)。对照组采用NBP监测,干预组采用IBP监测。比较两组的炎症因子水平以及危重评分。结果治疗前,两组炎症因子水平、器官功能衰竭评分(SOFA)、急性生理与慢性健康评分Ⅱ(APACHEⅡ)量表评分比较,差异无统计学意义(P>0.05);治疗3 d后,两组白介素-6(IL-6)、白介素-8(IL-8)、肿瘤坏死因子-α(TNF-α)水平均低于治疗前,且干预组低于对照组,两组SOFA、APACHEⅡ评分均低于治疗前,且干预组评分低于对照组,差异有统计学意义(P<0.05);干预组休克纠正前的舒张压水平、收缩压水平均低于对照组,差异有统计学意义(P<0.05)。干预组休克纠正后收缩压低于对照组,舒张压高于对照组,差异有统计学意义(P<0.05)。结论在急诊科CS患者诊治中应用IBP监测的监测效果明显,患者的炎性因子、危重评分、血压指标改善情况较好,为临床诊治提供更加可靠的依据,值得推广应用。Objective To study the effectiveness of non-invasive blood pressure(NBP)monitoring and invasive blood pressure(IBP)monitoring in patients with cardiogenic shock(CS)in the emergency department.Methods Sixty CS patients in the Fushan First People's Hospital from January 2020 to April 2023 were selected as the study subjects,and were divided into control group(30 cases)and intervention group(30 cases)using the lottery method.The control group was monitored using NBP,while the intervention group was monitored using IBP.Compared the levels of inflammatory factors and severity scores between the two groups.Results Before treatment,there were no statistically significant differences in the levels of inflammatory factors,selfvential assessment organ failure(SOFA)score,acute physiology and chronic health evaluationⅡ(APACHEⅡ)between the two groups(P>0.05).After 3 days of treatment,the levels of two groups of interleukin-6(IL-6),interleukin-8(IL-8),and tumor necrosis factor-α(TNF-α)were lower than before treatment,and the intervention group was lower than the control group,the scores of SOFA and APACHEⅡin both groups were lower than before treatment,and the scores in the intervention group were lower than the control group,the differences were statistically significant(P<0.05).The average levels of diastolic blood pressure and systolic blood pressure before shock correction in the intervention group were lower than those in the control group,the differences were statistically significant(P<0.05).After shock correction,the systolic blood pressure in the intervention group was lower than that in the control group,and the diastolic blood pressure was higher than that in the control group,the differences were statistically significant(P<0.05).Conclusion The application of IBP monitoring in the diagnosis and treatment of CS patients in the emergency department has obvious monitoring effect,and the inflammatory factors,critical scores and blood pressure indexes of patients have been improved better,which provides a more r

关 键 词：无创 有创 血压监测 急诊科 心源性休克 

分 类 号：R441.9[医药卫生—诊断学]