中国当代医药2023，Vol.30Issue(35)：188-191,4.
无创血压监测和有创血压监测在急诊科心源性休克患者中的效果
Effectiveness of non-invasive blood pressure monitoring and invasive blood pressure monitoring in patients with cardiogenic shock in emergency department
摘要
Abstract
Objective To study the effectiveness of non-invasive blood pressure(NBP)monitoring and invasive blood pres-sure(IBP)monitoring in patients with cardiogenic shock(CS)in the emergency department.Methods Sixty CS patients in the Fushan First People's Hospital from January 2020 to April 2023 were selected as the study subjects,and were divided into control group(30 cases)and intervention group(30 cases)using the lottery method.The control group was monitored using NBP,while the intervention group was monitored using IBP.Compared the levels of inflammatory factors and severity scores between the two groups.Results Before treatment,there were no statistically significant differences in the levels of inflammatory factors,selfvential assessment organ failure(SOFA)score,acute physiology and chronic health evaluation Ⅱ(APACHE Ⅱ)between the two groups(P＞0.05).After 3 days of treatment,the levels of two groups of interleukin-6(IL-6),interleukin-8(IL-8),and tumor necrosis factor-a(TNF-a)were lower than before treatment,and the intervention group was lower than the control group,the scores of SOFA and APACHE Ⅱ in both groups were lower than before treatment,and the scores in the intervention group were lower than the control group,the differences were statistically significant(P＜0.05).The average levels of diastolic blood pressure and systolic blood pressure before shock correction in the intervention group were lower than those in the control group,the differences were statistically significant(P＜0.05).After shock correction,the systolic blood pressure in the intervention group was lower than that in the control group,and the diastolic blood pressure was higher than that in the control group,the differences were statistically significant(P＜0.05).Conclusion The application of IBP monitoring in the diagnosis and treatment of CS patients in the emergency department has obvious monitoring effect,and the inflammatory factors,critical scores and blood pressure indexes of patients have been improved better,which pro-vides a more reliable basis for clinical diagnosis and treatment,and is worthy of popularization and application.关键词
无创/有创/血压监测/急诊科/心源性休克Key words
Non-invasive/Invasive/Blood pressure testing/Emergency department/Cardiogenic shock分类
医药卫生引用本文复制引用
黄育新..无创血压监测和有创血压监测在急诊科心源性休克患者中的效果[J].中国当代医药,2023,30(35):188-191,4.基金项目
江西省抚州市社会发展指导性科技计划项目(抚科计字[2020]20号序列号29). （抚科计字[2020]20号序列号29）
