International Journal of Clinical Research

Objective To explore the application effect of arterial blood pressure monitoring in the care of patients with severe traumatic brain injury. Methods A total of 89 patients with severe traumatic brain injury treated in our hospital from February 2023 to May 2025 were selected as the main study subjects. They were divided into a conventional group (blue ball, 44 cases) and an experimental group (white ball, 45 cases) using the 'Double Color Ball Grouping Method'. The conventional group received non-invasive blood pressure monitoring and traditional care, while the experimental group underwent continuous monitoring of arterial blood pressure and targeted nursing. The blood pressure monitoring error rate and complication occurrence rate were compared between the two groups, and length of hospital stay, blood pressure fluctuation range, admission coma scale (GCS), and prognosis score (GOS) were recorded. Results There was no statistically significant difference in the admission GCS scores between the two groups prior to intervention (P > 0.05). After intervention, the GOS score in the experimental group was higher than that in the conventional group, with a statistically significant difference (P < 0.05); the blood pressure monitoring error rate and complication occurrence rate in the experimental group were both lower than those in the conventional group, and the length of hospital stay and blood pressure fluctuation range were also lower in the experimental group, with statistically significant differences (P < 0.05). Conclusion Implementing arterial blood pressure monitoring in the nursing of patients with severe traumatic brain injury can not only improve the accuracy of blood pressure monitoring and reduce fluctuations, but also lower the risk of complications, shorten hospitalization duration, and improve prognosis, thus its application is recommended.

Severe traumatic brain injury; Arterial blood pressure monitoring; Blood pressure fluctuations; Effect