应用脉搏指数连续心输出量监测提升急性心力衰竭护理效果  

Application of pulse index continuous cardiac output monitoring to improve efficiency of acute heart failure care

作　　者：孙秀月 张领 赵书琴 

机构地区：[1]河南省平顶山市第二人民医院心内四科,467000

出　　处：《中国实用医刊》2015年第10期81-82,共2页Chinese Journal of Practical Medicine

基　　金：河南省卫生科技创新型人才工程专项经费资助[豫卫科（2010）40]

摘　　要：目的 探讨急性心力衰竭患者护理中应用脉搏指数连续心输出量监测（PiCCO）的效果.方法 选取平顶山市第二人民医院收治的43例急性心力衰竭患者作为研究对象,收集患者的临床资料并对其做回顾性分析,对患者实施脉搏指数连续心输出量监测和护理,对患者的护理效果进行观察,并对其干预前后的胸腔内血容量、心排血量与氧耗量进行对比观察.结果 实施PiCCO和护理干预,本研究43例患者均无严重并发症产生,42例好转出院,1例由于病情危重、高龄及心功能持续无改善自动出院.患者干预后的氧耗量、心排血量与胸腔内血容量均有所改善,干预后各项指标与干预前比较差异有统计学意义（P＜0.05）.结论 应用脉搏指数连续心输出量可有效改善患者心排血量等临床指标,经实施相应的护理可有效改善患者症状并减少并发症.Objective To ihvestigate the effect of pulse index continuous cardiac output （PiCCO） monitoring to nursing care of acute heart failure care.Methods The clinical data of 43 acute heart failure patients were retrospectively analyzed,patients were given pulse index continuous cardiac output monitoring and care,the patient＇s nursing outcomes were observed,and the intrathoracic blood volume,cardiac output and oxygen consumption before and after the intervention were compared.Results After the implementation of PiCCO and nursing intervention,43 patients had no serious complications,improved 42 cases discharged,the other 1 patient in critical condition due to old age and heart function improvement sustained no automatic discharge.Oxygen consumption,cardiac output and intrathoracic blood volume were improved after the intervention,there was a significant difference （P 〈 0.05） compared to the previous indicators and intervention after intervention.Conclusions Application of pulse index continuous cardiac output can effectively improve patient＇s clinical parameters such as cardiac output,through the implementation of appropriate care can improve symptoms and reduce complications.

关 键 词：急性心力衰竭 脉搏指数连续心输出量监测 护理效果 

分 类 号：R540.45[医药卫生—心血管疾病]