Application and nursing of invasive arterial blood pressure monitoring in critically ill patients after operation
有创动脉血压监测在心脏危重患者术后的应用护理

摘要

目的：探讨有创动脉血压监测在心脏危重患者术后的应用护理。方法：本次研究于我院展开， 将2020 年10 月-2021 年10 月期间于心内科接受心脏介入手术后行有创动脉血压监测的危重患者76 例为对 象、同时均实施护理干预，总结护理干预的要点并分析其优势。结果：相比于监测前，在监测期间对患者 的各项临床指标（血压、心率、血红蛋白、动脉血气）进行了有效监测（P＜0.05）；对监测期间并发症发生 情况统计后发现，刺穿部位感染 2 例、出血 1 例、远端血肿 1 例、导管堵塞 1 例，经护理干预后得到明显 好转。结论：在心脏危重患者介入手术后行有创动脉血压监测，能够直观的反应出患者血压、心率等临床 指标的变化情况；而在监测期间为其实施有效地护理干预能够控制和减少并发症的发生风险。

Abstract

Objective: To explore the application of invasive arterial blood pressure monitoring in postoperative nursing of critical cardiac patients.
Methods: This study was carried out in our hospital. 76 critically ill patients who underwent invasive arterial blood pressure monitoring after cardiac interventional surgery in the Department of cardiology from October 2020 to October 2021 were selected as subjects, and nursing intervention was carried out at the same time. The key points of nursing intervention were summarized and its advantages were analyzed.
Results: compared with before monitoring, the clinical indexes (blood pressure, heart rate, hemoglobin, arterial blood gas) of the patients were effectively monitored during the monitoring period (P < 0.05); According to the statistics of complications during the monitoring period, there were 2 cases of infection at the puncture site, 1 case of bleeding, 1 case of distal hematoma and 1 case of catheter blockage, which were significantly improved after nursing intervention.
Conclusion  : invasive arterial blood pressure monitoring in critically ill patients after interventional surgery can directly reflect the changes of clinical indicators such as blood pressure and heart rate; Effective nursing intervention during the monitoring period can control and reduce the risk of complications.