摘要
目的探讨出生时窒息对新生儿血压节律的影响。方法使用无创血压监护仪连续监测并记录31例重度窒息足月新生儿和50例正常足月新生儿出生7 d内的血压,通过比较分析,总结其变化规律。结果正常足月新生儿在出生后48 h建立血压昼夜波动规律,而窒息新生儿血压波动节律性丧失,经治疗病情改善,直到第4天血压节律才逐渐建立;与对照组相比差异具有统计学意义(P<0.05)。结论出生窒息明显影响新生儿血压节律建立,而血压节律变化也可以作为临床上判断病情转归的指标之一。
Objective To observe blood pressure（BP） rhythm,and to study the effect of asphyxia on it in newborns with asphyxia.Methods Continuous BP monitoring at 02：00,06：00,10：00,14：00,18：00,22：00 in the first week was performed in the 50 cases of healthy full-term natural-delivered neonates and 31 cases of asphyxiated neonates with Apgar score 3 at 1 minute.Results Loss of BP rhythm was observed in the newborns after asphyxia,and the BP rhythm was restored after 4 days treatment.Compared with the control group,the neonatal asphyxia had significant effect on BP rhythm.Conclusions Asphyxia significantly affects the newborn BP rhythm.The changes of BP rhythm can be used as an indicator of disease outcome.
出处
《临床儿科杂志》
CAS
CSCD
北大核心
2013年第3期225-227,共3页
Journal of Clinical Pediatrics
关键词
窒息
血压
生物节律
新生儿
asphyxia
blood pressure
circadian rhythm
neonate
