腹部大手术收缩压变异指数的观察及护理干预

Observation and Nursing of abdominal surgery with systolic blood pressure variability

目的:探讨腹部大手术全麻后收缩压变异指数的改变及护理干预。方法:80例腹部大手术患者,按治疗方法不同,分为常规治疗40例(A组)和收缩压变异指数(SPV)容量治疗(B组)组40例,分别在手术前1d(T_1)和手术麻醉前10min(T_2)进行血压、心率和焦虑指数的测量并分析。结果:两组患者T2的收缩压、舒张压、心率、焦虑指数均明显高于T_1(t=2.312,t=2.452,t=2.371,t=2.482,P均<0.05);B组患者T_2的收缩压、舒张压、心率、焦虑指数明显低于A组(t=2.272,t=2.312,t=2.281,t=2.370,P均<0.05);A组术后平均苏醒时间(16.5±1.12)min高于B组(3.12+1.05)min(t=2.712,P<0.01)。结论:护理干预后收缩压变异指数(SPV)容量治疗组疗效高于常规治疗组。

Objective To investigate observation and nursing of abdominal surgery with systolic blood pressure variability.Methods 80 cases with major abdominal according to the different treatment methods were divided into 40 cases of conventional therapy （group A）and systolic blood pressure variability （group B）in 40 cases,The blood pressure,heart rate and anxiety indices before surgery one day （T1） and before anesthesia 10min（T2） were analyzed.Restdts The index of systolic blood pressure,diastolic blood pressure,heart rate,anxiety in T2 were significandy higher than T1 （t=2.312, t=2.452,t=2.371,t=2.482,all P〈0.05）;The index of systolic blood pressure,diastolic blood pressure,heart rote,anxiety in group B with T2 were significantly lower than the group A （t=2.272,t =2.312,t=2.281,t=2.370,P all 〈0.05）;The time of postoperative recovery （16.5±1.12）min in group Awere higher than the group B （3.12±1.05）min （t=2.712,P〈0.01）.Conclusion Nursing intervention of systolic blood pressure variability capacity treatment group were higher than those of conventional treatment group.