应用便携式超声心输出量监护仪监测新生儿脓毒症的临床价值  

Clinical value of monitoring cardiac function in neonatal sepsis

作　　者：罗吉平[1] 陈启雄[2] 熊雯[3] 叶晓敏[4] LUO Jiping;CHEN Qixiong;XIONG Wen;YE Xiaomin(Department of Pediatrics,Xichang People＇s Hospital,Xichang 615000,China)

机构地区：[1]西昌市人民医院儿科,615000 [2]重庆医科大学附属儿童医院新生儿科 [3]四川省医学科学院四川省人民医院超声科 [4]西昌市人民医院消化内科

出　　处：《心肺血管病杂志》2018年第8期771-773,共3页Journal of Cardiovascular and Pulmonary Diseases

摘　　要：目的:探讨加强心功能监测对新生儿脓毒症诊疗的意义。方法:对观察组75例脓毒症新生儿和同一时期对应的75例对照组感染性肺炎新生儿利用便携式超声心输出量监护仪(USCOM)进行心功能监测。根据监测结果对观察组患儿进行相应治疗,记录末次治疗后的心功能指标,观察治疗效果。结果:治疗前,与感染性肺炎对照组相比,脓毒症观察组的各项心功能指标均明显异常(P<0.025)。根据USCOM监测的心功能数据进行治疗后,观察组的各项心功能指标有了明显的好转,且治疗前后相比,差异有统计学意义(P<0.025)。结论:利用USCOM加强对心功能的监测有助于对新生儿脓毒症的诊断和治疗。Objective： To explore the significance of cardiac function monitoring in the diagnosis and treatment of neonatal sepsis. Methods： The portable ultrasonic cardiac output monitor（ USCOM） was used to monitor the cardiac function in the observation group（ n = 75,neonatal sepsis） and the corresponding routine group（ n = 75,infectious pneumonia neonatal） at the same time. The neonatal in the observation group were treated according to the monitoring result. The cardiac function indexes were recorded after the last treatment,and the therapeutic effect was observed. Results： Before treatment,compared with control group,neonatal pneumonia,sepsis group observation indexes of cardiac function were obviously abnormal heart function（ P〈0.025） According to the data of monitoring USCOM after treatment,the heart function index of the observation group was obviously improved,and the differences were statistically significant before and after treatment（ P〈0.025） Conclusion： The use of USCOM to monitor cardiac function during sepsis is helpful for the diagnosis and treatment of neonatal sepsis.

关 键 词：脓毒症 新生儿 心功能 便携式超声心输出量监护仪 

分 类 号：R54[医药卫生—心血管疾病]