新生儿血压按出生体重,妊娠年龄和产后年龄划分:一个系统性审查
Rhys Dore1, Katy Barnes2, Stephen Bremner3
1Royal London Hospital, Barts Health NHS Trust, London, UK.
Maternal health, neonatology and perinatology
|April 30, 2024
概括
新生儿血压随着出生体重,妊娠年龄和产后年龄的增加而增加. 然而,存在显著的变化,需要标准化的测量方法来准确的低血压和高血压值.
科学领域:
- 新生儿生理学 新生儿生理学
- 血液动力学 血液动力学
- 儿科研究的研究.
背景情况:
- 血压是新生儿的一个关键的血液动力学指标.
- 现有的规范价值往往来自有限的研究.
- 确定新生儿低血压和高血压的精确值对于及时干预至关重要.
研究的目的:
- 系统地审查从出生到三个月的新生儿观察到的血压值.
- 根据出生体重,妊娠年龄和产后年龄来调查血压的变化.
- 在没有药物干预的情况下建立对新生儿血压规范的全面理解.
主要方法:
- 进行了系统的文献审查.
- 搜索包括1946年至2017年的主要数据库 (MEDLINE,PubMed,Embase,Cochrane,CINAHL).
- 纳入未公布的数据来增强分析.
主要成果:
- 30项研究,包括一个未发表的数据集,来自3587个已识别的出版物.
- 随着高出生体重,妊娠年龄和产后年龄的增加,血压呈现出一致的增加.
- 早产和低出生体重的新生儿表现出更快的血压升高.
结论:
- 新生儿的血压随着出生体重,妊娠年龄和产后年龄的增加而增加,但仍然存在相当大的变化.
- 需要进一步的研究来标准化血压测量技术和时间.
- 为了准确定义新生儿低血压和高血压值,必须采用一致的方法.
相关概念视频
01:28Factors affecting Blood pressure
3.1K
Several physiological and lifestyle factors influence blood pressure (BP). Understanding these factors is crucial as they are significant in patient education and blood pressure management.
Physiological Factors:
Physiological Factors:
3.1K
01:24Blood Pressure
3.0K
The movement of blood in a human body, commonly referred to as blood flow, is determined by the volume of blood that traverses a certain section of the bodily system per unit time. It is the rhythmic contraction of the heart's ventricles that primarily instigates this movement. As the ventricles contract, blood is forced into the prominent arteries, which then flow from areas of greater pressure to lower pressure areas. This movement continues into smaller arteries and arterioles and...
3.0K
01:10Pre-Procedural Guidelines for Assessing Blood Pressure
563
Accurate blood pressure assessment is crucial for diagnosing and managing various health conditions. To ensure the reliability of these measurements, healthcare professionals must adhere to standardized pre-procedural guidelines. These guidelines enhance patient safety and improve the overall quality of healthcare. The following steps are essential for obtaining accurate and consistent blood pressure readings, from using the appropriate tools to ensuring effective communication with the...
563
01:21Sites for measruring blood pressure
1.7K
Blood pressure measurement is a fundamental clinical procedure, providing crucial data for assessing cardiovascular health. Among the various sites for this measurement, the brachial and popliteal arteries are predominantly utilized due to their accessibility and the reliability of their readings. This lesson delves into the anatomical significance, methodology, and considerations of measuring blood pressure at these locations.
The Brachial Artery: Primary Site for Blood Pressure Measurement
The Brachial Artery: Primary Site for Blood Pressure Measurement
1.7K
01:28Special considerations while measuring blood pressure
722
When assessing blood pressure (BP), healthcare professionals must consider various factors and potential unexpected outcomes to ensure accurate readings and provide proper patient care. Adhering to these guidelines is essential to achieving the most reliable results.
Monitoring Both Arms:
Monitoring BP in both arms during the initial assessment is advisable, as the systolic value may differ by five to ten mm Hg between arms. For subsequent BP assessments, use the arm with the higher reading.
Monitoring Both Arms:
Monitoring BP in both arms during the initial assessment is advisable, as the systolic value may differ by five to ten mm Hg between arms. For subsequent BP assessments, use the arm with the higher reading.
722
01:30Equipments Used To Measure Blood Pressure
964
Direct Method
This invasive approach involves cannulating a peripheral artery. During each cardiac contraction, pressure generates mechanical motion within the catheter, transmitted through rigid, fluid-filled tubing to a transducer. This transducer converts mechanical motion into electrical signals displayed as waveforms on a monitor. An automatic flushing system prevents blood backflow. Due to the potential risk of unexpected arterial blood loss, this method is primarily used in intensive...
This invasive approach involves cannulating a peripheral artery. During each cardiac contraction, pressure generates mechanical motion within the catheter, transmitted through rigid, fluid-filled tubing to a transducer. This transducer converts mechanical motion into electrical signals displayed as waveforms on a monitor. An automatic flushing system prevents blood backflow. Due to the potential risk of unexpected arterial blood loss, this method is primarily used in intensive...
964