有创血压监测在新生儿围手术期应用价值的研究

Studies on application value of invasive blood pressure monitoring for perioperative infants

目的:探讨有创血压及无创血压监测在新生儿围手术期应用中的价值,分析二者间的关系。方法:收集新生儿科2013年1月至2014年12月期间收治的新生儿手术患儿51例,分别在术前、术中、术后行连续有创血压和无创血压监测,对收集数据进行统计分析。结果:有创血压在术前、中、后的收缩压、舒张压和平均动脉压均略高于同期无创血压,但二者比较差异均无统计学意义(P>0.05);对术前、中、后有创无创血压进行相关分析,相关系数分别为0.841、0.611、0.753,差异具有统计学意义(P<0.01),可建立线性回归方程。结论:在围手术期新生儿中,连续有创血压监测更能及时、准确地反映患儿实际血压。

Objective：To evaluate and compare the application values of invasive blood pressure （IBP） monitoring and non - invasive blood pressure（N1BP） monitoring for perioperative infants. Methods： 51 cases of operative infants received and treated from January 2013 to December 2014 in the neonatal department were selected to receive continuously preoperative, intraoperative and postoperative IBP and NIBP monitoring. The data collected were analyzed statistically. Results ： Systolic, diastolic and mean arterial blood pressure with IBP monitoring were slightly higher than those with NIBP monitoring before, during and after operation, but there was no significant difference between them （ P 〉 O. 05 ）. Correlation analy- sis was made between preoperative, intraoperative and postoperative IBP and NIBP monitoring. The correlation coefficients were 0. 841,0.611 and 0. 753 ~spectively and the differences were statistically significant （ P 〈 0.01 ）. Conclusions： Continuous IBP monitoring can reflect the actual blood pressure more timely and accurately for perioperative infants.