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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
Objective To understand the difference of blood pressure between normal newborns and the same time, neonatal asphyxia after resuscitation on the same day, and to find out the dynamic changes of blood pressure in neonates after normal neonatal asphyxia resuscitation. Methods The time of birth ≤1h, 24h, 2d, 3d and 5d were chosen as the measuring time. Fifty normal newborns and 46 neonates after asphyxia resuscitation were selected. Blood pressure was measured by CRIPIKON 1846SX electronic sphygmomanometer. Results Systolic blood pressure of normal newborns had no significant difference in systolic pressure at ≤ 1h, 2h, 2d, 3d, 5d compared with that of mild asphyxia, diastolic pressure was significantly higher than that of normal neonates at 24h and 2d Newborns; systolic blood pressure 24 hours after severe asphyxia in neonates was significantly lower than normal newborns, systolic blood pressure was significantly higher than normal newborns on the third day, diastolic blood pressure on the third and fifth days were significantly higher than normal newborns. Normal newborn blood pressure, mild and severe asphyxia neonatal blood pressure increased with age. Conclusions The blood pressure of newborns after normal resuscitation asphyxiated with normal neonates at the same time is significantly different, especially that of neonates after resuscitation with severe asphyxia. The dynamic changes of blood pressure of newborns after normal resuscitation are similar Increase with age. Blood pressure monitoring of neonatal neonatal choice resuscitation program has important implications