新型无创心输出量监测仪在充血性心力衰竭患者中的应用研究  

Application of noninvasive cardiac output monitor in the congestive heart failure

作　　者：刘聚伟[1] 吕宪玉[1] 秦浩[1] 王瑞芳[1] 何昆仑[1] 

机构地区：[1]解放军总医院南楼心血管二科,北京100853

出　　处：《中华保健医学杂志》2009年第2期131-133,共3页Chinese Journal of Health Care and Medicine

基　　金：863课题资助项目(NO.2007AA02Z437179)

摘　　要：目的探讨无创心输出量监测仪(noninvasive cardiac output monitoring,NICOM)对充血性心力衰竭(congestive heart failure,CHF)患者的应用价值。方法对81例诊断为CHF的患者及200例正常对照者进行超声心动图检查和NICOM检查,并对CHF患者和正常对照者NICOM与超声心动图检查结果进行分析对比。结果CHF组NICOM与超声心动图的SV分别为52.15±15.90ml、47.75±15.39ml,正常对照组分别为59.31±19.29ml、54.72±17.12ml,两组相比差异均无统计学意义(P>0.05)。两组NICOM检查所测得的静息和运动状态下HR、SV、CO及CI值比较,差异均有统计学意义(P<0.05,P<0.01)。结论NICOM检查在CHF的诊断、心功能的监测及评估方面有应用价值。Objective To investigate the value of noninvasive continuous cardiac output monitoring（NICOM ） in the congestive heart failure （CHF）. Methods 81 CHF patients and 200 healthy volunteers were selected. Their cardiac pump function were recorded and analyzed by NICOM and ultrasonic Cardiogram（UCG）. Results In CHF group, There was no statistical difference（P〉 0.05）between the SV measured by NICOM （52.15±15.90 ml）and by UCG （47.75±15.39 ml） ;In normal group,there was no statistical difference （P〉0.05 ）between the SV measured by NICOM （59.31±19.29 ml）and by UCC（54.72±17.12 ml）. In CHF group,HR、SV, CO,CI were statistically difference（P〈0.05）both at exercise and rest,compared with normal group. Conclusions NICOM might be significantly related to the detection and evaluation of CHF.

关 键 词：充血性心力衰竭 无创心输出量监测仪 泵血功能 心输出量 

分 类 号：R541.6[医药卫生—心血管疾病]