有创血压监测在重症急性胰腺炎患者连续性血液净化治疗中的应用

Applications of Invasive Blood Pressure Monitoring in Continuous Blood Purification Therapy for Patients with Severe Acute Pancreas

目的探讨分析有创血压(IBP)检测在重症急性胰腺炎(SAP)患者行连续性血液净化(CBP)治疗过程中的疗效。方法随机选取该院2011年3月—2014年3月收治的150例重症急性胰腺炎患者作为研究资料,随机分为分A、B两组,各75例患者,均进行CBP治疗,其中A组采用有创血压监测,B组采用无创血压监测,比较两组患者CBP治疗过程中心律失常、意识改变、血压下降等不良情况的发生率及CBP被迫中断次数、患者治疗过程中并发症发生率和预计治疗时间完成率的情况。结果 A组上述指标均显著优于B组,差异有统计学意义(P<0.05)。结论采用有创血压监测可以有效地减少血压下降、心律失常、意识改变等不良情况的发生,提高治疗的连续性和抢救成功率,临床值得推广应用。

Objective To investigate and analyze the effect of invasive blood pressure（IBP） monitoring for patients with severe acute pancreas（SAP） undergoing continuous blood purification（CBP）. Methods 150 patients with SAP admitted in our hospital during March 2011 and March 2014 were selected as the research object and randomly divided into Group A and Group B with 75 in each group. CBP were performed in both of the two groups, but under invasive and non-invasive blood pressure monitoring in Group A and Group B, respectively. The rate of adverse events such as arrhythmia, altered consciousness, decreasing blood pressure, etc. the interruption number of CBP, complications rate and the completion rate of expected treatment duration of the two groups were compared. Results The indicators above of the Group A were significantly better than those of the Group B, and the difference was statistically significant（P〈0.05）. Conclusion Invasive blood pressure monitoring can effectively reduce blood pressure, cardiac arrhythmia, altered consciousness and other adverse events thus improve the continuity and success rate of treatment,therefore it is worth promoting in clinic.