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有创血压监测在重症手足口病机械通气下液体复苏中的初步应用

The Initial Application of Invasive blood Pressure Monitoring in Fluid Resuscitation of Severe hand, Foot and Mouth Disease with Mechanical Ventilation
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摘要 目的:评价有创血压监测在重症手足口病液体复苏中的可行性及监测效果。方法:采用自身对照的方法,对2014年5月~2014年8月郑州大学第三附属医院35例重症手足口病患儿机械通气后,进行24小时有创血压和无创血压的监测比较。选择桡动脉穿刺行直接动脉血压连续监测,每30分钟记录1次,同时同侧肱动脉每30分钟进行无创血压测定1次,分别记录2种方法的测量值,比较两者的数值以及早期液体复苏后变化的情况。结果:有创血压较无创血压平均值低(P<0.05)。液体复苏时,有创血压的变化幅度与无创血压相比没有统计学差异(P﹥0.05),但有创血压变化较无创血压稍早。结论:有创血压监测可用于重症手足口病机械通气下监测,较无创血压应用方便,能够持续监测。 Objective:To evaluate the feasibility and clinical value of invasive blood pressure monitoring in fluid resuscitation of severe hand , foot and mouth disease with mechanical ventilation .Methods:From May 2014 to Aug 2014 in the third affiliated hospital of Zheng-zhou University , 35 cases of severe hand , foot and mouth disease children with mechanical ventilation , who already had right radial pe-ripheral arterial catheters,had simultaneous measurements of blood pressure via invasive blood pressure ( IBP)and noninvasive blood pressure ( NBP) methods.IBP and NBP were recorded every 30 minutes in the 24 hours after mechanical ventilation , which were recor-ded the measured value of the two methods respectively .The two values and changes were compared after fluid resuscitation .Results:The blood pressure values measured invasively were lower than those non -invasively(P﹤0.05).There were no statistically significant be-tween the rangeability of IBP and NBP in fluid resuscitation (P﹥0.05).Conclusion:Invasive blood pressure monitoring can be used for severe hand , foot and mouth disease monitoring under mechanical ventilation .Compared to NBP , IBP can be more convenient and sus-tainable.
出处 《中国伤残医学》 2016年第7期16-17,共2页 Chinese Journal of Trauma and Disability Medicine
关键词 有创血压 儿童 手足口病 液体复苏 Invasive blood pressure Children Hand Foot and mouth disease Fluid resuscitation
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