脉搏指示连续心输出量监测在重症患者液体复苏治疗中的应用效果  

Application effects of pulse-indicated continuous cardiac output monitoring on severe patients undergoing liquid resuscitation therapy

作　　者：柳颖[1] LIU Ying(Dalian Friendship Hospital,Dalian Liaoning116001,China)

机构地区：[1]大连市友谊医院,辽宁大连116001

出　　处：《中国民康医学》2018年第18期84-86,共3页Medical Journal of Chinese People’s Health

摘　　要：目的:观察脉搏指示连续心输出量监测在重症患者液体复苏治疗中的应用效果。方法:选取接受液体复苏治疗的重症患者42例,根据其入院序号的奇偶划分为对照组和观察组各21例,对照组实施中心静脉压监测,观察组行脉搏指示连续心输出量监测,比较两组患者液体复苏治疗时间、入住ICU时间、恢复情况,并比较两组患者治疗前后心脏指数(CI)、胸腔内血容积指数(ITBVI)、血管外肺水指数(EVLWI)和系统血管阻力指数(SVRI)。结果:观察组患者液体复苏治疗时间、入住ICU时间均明显短于对照组,差异有统计学意义(P<0.05);观察组患者室性心律失常发生率、死亡率均明显低于对照组,差异有统计学意义(P<0.05);治疗后1个月,观察组患者CI较治疗前明显升高,ITBVI、EVLWI和SVRI较治疗前明显降低,差异有统计学意义(P<0.05)。结论:脉搏指示连续心输出量监测在重症患者液体复苏治疗中的应用效果优于中心静脉压监测效果。Objective： To observe application effects of pulse-indicated continuous cardiac output monitoring on server patients undergoing liquid resuscitation therapy. Methods： 42 severe patients, who underwent fluid resuscitation therapy, were selected and divided into control group and observation group according to the odd and even of the admission number, 21 cases in each group. The control group underwent central venous pressure monitoring, while the observation group was given pulse-directed continuous cardiac output monitoring. The liquid resuscitation therapy time, ICU stay and recovery conditions were compared between the two groups before and after the treatment. Further, the cardiac index （CI）, intrathoracic blood volume index （ITBVI）, extravascular lung water index （EVLWI） and systemic vascular resistance index （SVRI ） were also compared between the two groups before and after the treatment. Results： The liquid resuscitation therapy time and ICU stay in the observation group were significantly shorter than those in the control group, and the differences were statistically significant （ P 〈0.05）. The incidence of ventricular arrhythmia and mortality in the observation group were significantly lower than those in the control group, and the differences were statistically significant （ P 〈0.05）. 1 month after the treatment, the CI of the observation group was significantly higher than that before the treatment, the ITBVI, EVLWI and SVRI levels were significantly lower than those before the treatment, the differences were statistically significant （ P 〈0.05）. Conclusions： For the server patients undergoing liquid resuscitation therapy, the pulse-indicated continuous cardiac output monitoring is superior to the central venous pressure monitoring.

关 键 词：重症患者 液体复苏治疗 脉搏指示连续心输出量监测 

分 类 号：R459.7[医药卫生—急诊医学]