PiCCO监测技术在肺炎合并心力衰竭容量管理的应用观察  

Application observation of PiCCO monitoring technology in capacity management of pneumonia combined with heart failure

作　　者：陈素妮 刘正生[1] 黄东明[1] 唐小丽[1] 

机构地区：[1]广东省博罗县人民医院,广东博罗516100

出　　处：《中国医药科学》2017年第1期140-142,共3页China Medicine And Pharmacy

基　　金：广东省惠州市科技计划项目(2016Y220)

摘　　要：目的探讨对肺炎合并心力衰竭的患者实施PiCCO监测技术的方法和临床效果。方法将2013年12月~2015年12月我院收治的肺炎合并心力衰竭患者30例作为研究对象,均分为观察组和对照组两组,分别对其进行PiCCO监测技术和多功能监护仪监测,观察两组患者的各项指标变化情况。结果液体复苏48h后,观察组CI升高幅度显著优于对照组,EVLW、GEDV、SVRI、PCWP下降幅度显著优于对照组,差异有统计学意义(P<0.05),观察组各项指标较对照组均显著更优,差异有统计学意义(P<0.05)。结论 PiCCO监测技术能有效监测患者的心脏前后负荷、心功能等指标,指导患者进行液体复苏治疗,可防止对于负荷过重或液体不足为机体带来的不良影响有显著的预防作用。Objective To explore the method and clinical effect of PiCCO monitoring technology in volume management of pneumonia combined with heart failure. Methods 30 eases of patients with pneumonia combined with heart failure cured in our hospital from December 2013 to December 2013 were selected as the research objects. They were divided into observation group and control group with 15 cases in each. Patients in observation group were carried on the PiCCO monitor technology, and patients in control group were treated with multi-functional monitor monitoring.The various indicators of change of the two groups were observed. Results The liquid recovery after 48 h, the CI rise of observation group was significantly better than that of control group. Decline ranges of EVLW, GEDV, SVRI, PCWP were significantly better than those of control group（P 〈 0.05）, there was statistical significance. Each indexes of observation group were significantly better than those of control group（P 〈 0.05）, there were statistical significancea. Conclusion PiCCO monitor technology can effectively monitor the patient＇s heart before and after loading, and cardioc function indexes. It can guide patients with liquid recovery treatment. It can prevent the liquid for overload or shortage for the prevention of the ill effects of the body has a significant effect.

关 键 词：PiCCO监测技术 重症肺炎 心力衰竭 容量管理 

分 类 号：R542.22[医药卫生—心血管疾病]