有创血压监测在危重患者诊治中作用的临床研究与应用.docVIP

精品论文 参考文献 有创血压监测在危重患者诊治中作用的临床研究与应用 常德职业技术学院附属第一医院 湖南常德 415000 【摘 要】目的 探讨有创血压监测在危重患者诊治中的临床应用价值。方法 选取我院重症监护科于2014年7月-2016年5月收治的危重患者75例为研究组对象，均对其进行动脉血压和中心静脉压动态监测，另选取以往我院普通病房同类患者50例的临床资料作为对照组，对比分析两组患者的抢救成功率、平均住院时间、治愈率及并发症情况。结果 研究组患者平均住院时间为（6.01plusmn;1.30）d，对照组为（11.12plusmn;2.47）d，两组比较差异有统计学意义（plt;0.01）；研究组患者抢救成功率为96.0%，对照组为80.0%%，组间比较差异有统计学意义（Plt;0.01）；研究组发生重度脑水肿1例，颅内感染3例，肺部感染4例，并发症发生率为10.7%，对照组为32.0%，组间比较差异有统计学意义（Plt;0.01）。结论 有创血压监测在急救领域、重症监护病房有重要的应用价值，是抢救危重患者过程中非常重要的监测方法。 【关键词】有创血压监测；危重患者；抢救成功率 [Abstract] objective to investigate the invasive blood pressure monitoring in the clinical application value of diagnosis and treatment of critically ill patients.Methods select our hospital intensive care department in July 2014-2016 cases of critically ill patients admitted in May 2016 as research object，both on the arterial blood pressure and central venous pressure dynamic monitoring，the selected before our common ward similar patients the clinical data of 50 cases as control group，compared two groups of patients rescue success rate，average length of hospital stay，the cure rate and complication.Results the team average hospitalization time was（6.01 + 1.30）in patients with d，the control group（11.12 + 2.47）d，are similar between the two groups was statistically significant（p lt; 0.01）；Group patients rescue success rate was 96.0%，control group is 80.0% %，comparing differences between groups was statistically significant（P lt; 0.01）；Team 1 cases of severe brain edema and intracranial infection（3 cases），pulmonary infection in 4 cases，the incidence of complications was 10.7%，the control group was 32.0%，compare the difference between groups was statistically significant（P lt; 0.01）.Conclusions the invasive blood pressure monitoring in the field of emergency，intensive care unit have important application value，is very important in the process of rescuing critically ill patients monitoring method. [Key words] invasive blood pressure monitoring；Cri