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正常新生儿血压与窒息复苏后新生儿血压的对照研究
Control study on blood pressures between normal newborns and smother newborns
【摘要】 目的 了解正常新生儿血压与同时间、同日龄窒息复苏后新生儿血压的差别 ,明确正常新生儿与窒息复苏后新生儿血压的动态变化。方法 选择生后≤ 1h、 2 4h、 2d、 3d、 5d为测量时间 ,对正常新生儿 5 0例、窒息复苏后新生儿 46例 ,应用CRIPIKON 1846SX型电子血压计测量血压。结果 正常新生儿收缩压在≤ 1h、 2 4h、 2d、 3d、 5d时与轻度窒息新生儿收缩压相比无明显差异 ,舒张压在 2 4h、 2d时轻度窒息新生儿明显高于正常新生儿 ;重度窒息新生儿 2 4h的收缩压明显低于正常新生儿 ,第 3天的收缩压明显高于正常新生儿 ,第 3天及第 5天的舒张压均明显高于正常新生儿。正常新生儿血压、轻度及重度窒息新生儿血压均随日龄的增大而增高。结论 正常新生儿与同时间、同日龄窒息复苏后新生儿的血压 ,尤其是重度窒息复苏后新生儿的血压存在显著性差异 ;正常新生儿与窒息复苏后新生儿血压的动态变化基本相似 ,均随日龄的增大而增高。血压的监测对窒息复苏后新生儿选择治疗方案上有重要意义
【Abstract】 Objective To explore the difference of blood pressures(BP)between normal newborns(NN)and smother newborns(SN)who are same time and same date age,and to definitude the dynamic changes of their pressures.Methods CRIPIKON 1846SX Electromanometer was used to measure the BP of 50 NN and 46 SN who were ≤ 1 h,24 h,2 d,3 d and 5 d after birth.Results There were no significant difference between the average values(AV)of the systolic pressure (SP)of the NN group and the mild smother newborns(MSN)group whose newborns were ≤ 1 h,24h,2 d,3 d and 5 d after birth.The AV of the diastolic pressure(DP)of MSN group was significantly higher than that of the NN group whose newborns were at 24 h and 2 d after birth.The AV of the SP of the severe smother newborns(SSN)group was significantly lower than that of the NN group whose newborns were at 24 h after birth.The AV of the SP and DP of the SSN group were significantly higher than that of th NN group whose newborns were at 3 days after birth.The AV of the DP of the SSN group was significantly higher than that of the NN group whose newborns were at 3 d and 5 d after birth.The values of the BP of the NN,MSN and SSN increased with the increase of their date age.Conclusion There were significant differences between the BP of the NN and the MSN group,particularly between the NN group and the SSN group.The dynamic changes of the BP of the above NN,SN,were basic similitude,which the values of the BP of these newborns increased with the increase of their date age.Monitoring BP will have an important significance in selecting treatment plans for SN.
- 【文献出处】 中华急诊医学杂志 ,Journal of Emergenoy Medicine , 编辑部邮箱 ,2001年03期
- 【分类号】R722.12
- 【被引频次】6
- 【下载频次】93