Ferda ÖZLÜ, Hacer YAPICIOĞLU, Nurse Selda YÜCE, Nurse Ülker EMEKDAR

Hasta olmayan preterm yenidoğanlarda kan basıncı monitörizasyonu

Amaç: Bu çalışmada yenidoğan yoğun bakım ünitemize yatırılan sağlıklı preterm bebeklerdeki normal kanbasıncı değerlerini sağlamayı amaçladık.Gereç ve Yöntem: Yaşamının ilk saatlerinde yenidoğan yoğun bakım ünitemize yatırılan 34 gestasyonel haftadan küçük hemodinamik olarak stabil 141 preterm bebek çalışmaya dahil edildi.Bulgular: 141 bebek çalışmaya alındı. Ortalama doğum ağırlıkları ve gestasyon haftaları sırasıyla 1437.45±445.8 (580-2400) gr and 31.04±2.1 (27-34) hafta idi. Kan basıncı değerleri farklı gestasyon haftası ve doğum ağırlıklarına göre uluslararası değerlerden farklı idi. Sonuç: Yüzyıllardan beridir yenidoğan kan basıncı ölçümleri yapılmasına rağmen, normal neonatal kan basıncı değerlerini belirlemede henüz daha çok yolumuz bulunmaktadır. Kesin değerleri belirlemeden önce hala birçok fizyolojik değişikliklerin araştırılması gerekmektedir.

Anahtar Kelimeler:

Yenidoğan, kan basıncı, osilatuar yöntem

Blood pressure monitoring in non-critically ill preterm neonates

Purpose: The aim of this study was to provide normative blood pressure measurements during the first days of life of healthy preterm neonates admitted to our neonatal intensive care unit.Material and Method: The representative study population consisted of 141 hemodynamically stable premature infants who were smaller than 34 gestational weeks admitted to the neonatal intensive care unit during the first hours of life.Results: One hundred forty-one infants were studied. The mean birth weight and gestational weeks of the study group is 1437.45±445.8 (580-2400) gr and 31.04±2.1 (27-34) weeks respectively. Blood pressures differ from the universal norms in different groups of gestation and birth weight. Conclusion: Despite the fact that neonatal blood pressures has been measured for decades, we are still in the early phase of identifying the normal patterns of infant blood pressure. There are still many physiological changes that need further investigation before definitive reference data can be generated.

Keywords:

Neonates, blood pressure, oscillometric method,

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