围术期无创测量血压测压肢体皮肤保护方法的探讨

The exploration of limb skin protection method by noninvasive blood pressure measurement in perioperative period

目的探索一种科学有效的围术期无创测量血压测压肢体皮肤保护方法。方法分析57例未采用血压袖带防护垫患者手术后测压肢体受压情况,另随机将50例行眼科全麻手术的15岁以下无其他基础疾病的患者作为研究对象,分别在患者清醒时、麻醉后,先进行未加袖带防护垫测量血压,再在同一部位进行加袖带防护垫测量血压,2种方法各测量2次取均值,将未加皮肤保护衬垫测量血压值设为对照组,将加皮肤保护垫测量血压值设为实验组,2组进行自身对比。结果在57例不采用袖带防护衬垫术后测压的患者中,23例出现皮肤压红痕迹,其中2例出现淤青紫癜;采用皮肤保护垫的50例患者测压肢体均未出现压力性紫癜或发红现象,且采用袖带防护垫的测量血压值与不设保护垫的测量血压值差异无统计学意义(P>0.05)。结论正确使用血压袖带及袖带防护垫,可以安全、有效地保护围术期患者测压肢体皮肤的完整性,且并不影响血压测量效果,值得临床推广使用。

Objective To explore scientific, effective and noninvasive method for blood pressure measuring to protect limb skin in perioperative period. Methods Situation of 57 patients without blood pressure cuff protector （BPCP） was analyzed. 50 patients without other basic diseases under 15 years old in ophthalmological operation with general anesthesia were randomly selected as object of study. Blood pressure was measured before and after anesthesia without BPCP, and measured with BPCP. The mean value was calculated by the values of the two measurements. Meanwhile, blood pressure with BPCP was set as the experimental group and the mean value of blood pressure without BPCP was set as the control group. The two groups were compared. Resuits Skin red marks appeared in 23 patients in the control group, in which there were 2 patients with skin purpura. There were no kin red marks or purpura in the experimental group. The difference was not statistical significant in patients with or without BPCP（P 〉 0.05）. Conclusion Proper use of BPCP can effectively protect the integrity of limb skin in perioperative period and it doesn＇t affect the blood pressure measurement. So it＇s worthy of clinical application.