产后出血性休克患者应用有创血压监测的临床效果观察

Postpartum hemorrhagic shock patients have clinical observation application- invasive blood pressure monitoring

目的：评价和分析产后出血性休克患者应用有创血压监测的临床效果。方法：随机选取2012年2月~2015年6月来本院分娩并发产后出血性休克患者92例为研究对象,测量收缩压〈90 mm Hg者为1组（32例）,收缩压在90~140 mm Hg为2组（30例）,收缩压〉140 mm Hg为3组（30例）,同时对三组进行有创血压和无创血压监测。结果：术后收缩压监测的一致性情况：1组中两种监测方法平均差值为-4.9 mm Hg,2组为2.0 mm Hg,3组为16.8 mm Hg;1组超上限、超下限范围数为0,12.50%;2组超上限、超下限范围数为16.00%,12.00%;3组超上限、超下限范围数为6.67%,0。（2）1组中两种监测方法平均差值为-3.0 mm Hg,2组为-4.1 mm Hg,3组为0.4 mm Hg;1组超上限、超下限范围数为15.63%,12.50%;2组超上限、超下限范围数为4.00%,8.00%;3组超上限、超下限范围数为8.57%,22.86%。结论：有创血压监测可以更细微地监测患者血压的异常情况,准确为医护人员提供患者的基本情况。

Objective： Evaluation and analysis applications postpartum hemorrhage shock invasive blood pressure monitoring clinical results. Methods： randomly selected in February 2012- June 2015 to concurrent postpartum hospital childbirth 92 cases of hemorrhagic shock patients for the study,measuring systolic blood pressure 〈 90 mm Hg who as a group（ 32 cases）,systolic blood pressure of 90 to 140 mm Hg for the group 2（ 30 cases）,systolic blood pressure 〉 140 mm Hg for the three groups（ 30 cases）,while the three groups invasive and noninvasive blood pressure,blood pressure monitoring. Results： Postoperative systolic blood pressure monitoring consistency situations： 1 group of two monitoring methods mean difference was- 4. 9 mm Hg,2 group was 2. 0mm Hg,3 group was 16. 8 mm Hg; 1 set of super caps,super lower range was 0,12. 50%; 2 group over the upper limit,the lower limit of the range of the number of ultra- 16. 00%,12. 00%; three groups over the upper limit,the lower limit of the range of the number of super- 6. 67%,0. Two monitoring methods mean difference（ 2） 1 group was- 3. 0 mm Hg,2 group was- 4. 1 mm Hg,3 group was 0. 4 mm Hg; 1 set of super caps,super lower range number15. 63%,12. 50%; 2 group super cap the number of ultra- lower range of 4. 00% 8. 00%; three groups over the upper limit,the lower limit of the range of the number of super- 8. 57%,22. 86%. Conclusion： The invasive blood pressure monitoring can be more subtle abnormalities of blood pressure monitoring,the exact situation for health care workers to provide basic patient.