CNAP与心电监护仪对急诊创伤患者动脉血压监测的结果对比分析

Comparative Analysis of the Monitoring Results of Arterial Blood Pressure ofPatients with Emergency Trauma by CNAP and ECG Monitor

目的:对比分析连续无创动脉血压(Continuous Non-invasive Arterial Pressure,CNAP)与心电监护仪在急诊创伤患者动脉血压监测结果差异.方法:选取我院急诊科2019年1月-2020年3月收治的100例创伤患者为研究对象,分别采用CNAP与心电监护仪监测其动脉血压并进行对比,利用Kappa分析法检验二者监测结果的一致性.结果:CNAP动脉血压监测结果与心电监护仪相比较,差异无统计学意义(P>0.05);CNAP低血压检出率明显高于心电监护仪(38.00%vs.22.00%,P<0.05);Kappa分析结果提示:CNAP动脉血压监测结果与心电监护仪具有良好的一致性(Kappa=0.88、0.85、0.87).结论:急诊创伤患者CNAP与心电监护仪动脉血压监测结果一致性好且前者能够提高低血压检出率,值得推广使用.

Objective:To compare and analyze the difference between the results of continuous non⁃invasive arteri⁃al pressure(CNAP)and ECG monitor in patients with emergency trauma.Methods:100 trauma patients admitted in our emergency department from January 2019 to March 2020 were selected as the research subjects,and their arterial blood pressures were monitored and compared by CNAP and ECG monitors respectively,and the two were monitored by Kappa analysis.Consistency of results.Results:Compared with the ECG monitor,the results of CNAP arterial blood pressure monitoring were not statistically significant(P>0.05);the detection rate of CNAP hypotension was 38.00%,compared with 22.00%of the ECG monitor,the difference was statistically significant(P<0.05);Kappa analysis results suggest that CNAP arterial blood pressure monitoring results are in good agreement with ECG monitors(Kappa=0.88,0.85,0.87).Conclusion:The results of CNAP and ECG arterial blood pressure monitoring in emergency trauma patients are in good agreement and the former can increase the detection rate of hypotension,which is worthy of popularization and use.