NICU新生儿常见疾病对血压的影响

The effect of common diseases in neonatal ICU on the blood pressure of neonates

目的:探讨新生儿肺炎、新生儿窒息、缺氧缺血性脑病、颅内出血等不同疾病对新生儿动脉血压的影响。方法:应用美国Omn i-TrakTMNVS监护仪上的D INAMAP测压装置,分别对54例新生儿肺炎、38例新生儿窒息、16例缺氧缺血性脑病(H IE)和5例颅内出血(IVH)患儿进行血压监测,作为研究组。50例正常足月新生儿7 d内血压作为对照组。结果:新生儿肺炎患儿7 d内血压与正常足月新生儿比较无显著性差异,出生窒息对第1天新生儿血压有显著性影响,第2天恢复正常。缺氧缺血性脑病、颅内出血可以导致患儿第1天收缩压有所升高。结论:新生儿肺炎患儿血压较稳定。应动态观察窒息儿的血压变化,必要时应用升压药物以保证各器官组织的血供。颅内病变患儿动脉血压不稳定,应密切监测。

Objective： To research the changes of blood pressure during newborn pneumonia, asphyxia, hypoxic ischemic encephalopathy and intraeranial haemorrhage in NICU. Methods： Omni - TrakTM NVS monitor with DINAMAP was used in measuring the blood pressure. The blood pressure of which were in newborn pneumonia, asphyxia, hypoxie ischemie eneephalopathy and intraeranial haemorrhage were monitored by DINAMAP. 50 full-term infants were as controls. Results： There was no significant difference in the blood pressure between newborn pneumonia and full - term infants. Systolic, diastolic and mean blood pressures were reduced in asphyxian newborns in 24 hours. Systolic pressure was increased when newborns were with hypoxie isehemie eneephalopathy and intraeranial haemorrhage in the first day of life. Conclusion： Systolic, diastolic and mean blood pressures during newborn pneumonia are stable. It is necessary to monitor blood pressure which is significant change in asphyxia newborns. Systolic blood pressure is unstable in hypoxie isehemie eneephalopathy and intraeranial haemorrhage in the first day.