有创动脉血压监测在危重新生儿治疗中的应用价值及临床护理

摘要

Objective To analyze and discuss the value of invasive arterial blood pressure (IABP) monitoring in the treatment of critically ill newborns and the corresponding clinical nursing intervention.Methods 60 cases of critically ill newborns in our hospital from December 2014 to December 2013 were randomly selected,averagely divided into control group and observation group.When neonatal blood pressure monitoring,control group was given routine nursing,while observation group was given targeted nursing intervention,blood pressure and complications in two groups were observed and compared.Results SBP of observation group and control group were (73.99±14.53) mmHg,(65.13±8.44) mmHg,DBP were (36.12±8.44) mmHg,(43.25±9.84) mmHg,with statistically significant differences (P＜0.05).The incidence of complications in observation group and control group were 0％,13.3％,with statistically significant difference (P＜0.05).Conclusion Targeted nursing intervention can reduce the complications of invasive blood pressure monitoring in critical neonates,and improve the accuracy of blood pressure monitoring,worthy of clinical application and promotion.%目的 分析与探讨有创动脉血压监测应用于危重新生儿治疗中的价值与相应的临床护理干预.方法 随机选择2013年12月至2014年12月期间在本院收治的危重新生儿60例,将其平均分为对照组和观察组,对两组新生儿行有创动脉血压监测,在监测期间对对照组患者行常规护理,对观察组患者行针对性护理干预,对两组患儿血压与并发症进行观察与对比.结果 观察组与对照组患者收缩压分别为(73.99±14.53) mmHg、(65.13±8.44)mmHg,舒张压分别为(36.12±8.44) mmHg、(43.25±9.84)mmHg,两组比较差异有统计学意义(P＜0.05).观察组与对照组患者的并发症发生率分别为0、13.3％,两组比较差异有统计学意义(P＜0.05).结论 研究表明,有效的临床护理干预,可以减少危重新生儿桡动脉置管有创血压监测中并发症的产生,并提高血压监测的准确性,为患儿的临床抢救治疗提供准确的血压依据,值得临床应用与推广.