电子心力测量法无创检测新生儿血流动力学指标参考范围的探讨  

Discussion on Reference Range of Noninvasive Measurement for Neonatal Hemodynamic Indexes by Electronic Cardiometry

作　　者：宋艳 裴雪梅[1] 江蓓 Song Yan;Pei Xuemei;Jiang Bei(Department of Neonatology,Bao'an District People's Hospital,Shenzhen 518100)

机构地区：[1]深圳市宝安区人民医院新生儿科

出　　处：《数理医药学杂志》2019年第10期1428-1430,共3页Journal of Mathematical Medicine

基　　金：深圳市宝安区科技计划《电子心力测量法无创检测新生儿血流动力学指标参考范围的探讨》(编号:20170526144359185)

摘　　要：目的:探讨电子心力测量法无创检测新生儿血流动力学指标参考范围。方法:采用德国OSYPKA AESCULON电子心力测量法无创心输出量测量仪监测140例正常新生儿和106例患病新生儿心输出量(CO)、胸腔液体水平(TFC)和每搏输出变异(SVV)。结果:正常组的新生儿中胎龄为37~41周,体质量3219~4241g;CO、TFC和SVV与胎龄无相关性,而体质量与CO呈现相关性(r=0.324,P=0.000)。在患儿组中采集了新生儿肺炎、新生儿感染、新生儿高胆红素血症、足月小样儿和高危儿的血流动力学指标进行统计分析,患儿的CO值均低于正常组中相应年龄和体质量的新生儿的CO值,SVR值均高于正常组中相应年龄和体质量的新生儿的SVR值。结论:电子心力测量法测得的血流动力学指范围作为标准在新生儿疾病的诊断治疗中具有一定的临床价值。Objective:To investigate the reference range of noninvasive measurement for neonatal hemodynamic indexes by electronic cardiometry. Methods:German OSYPKA AESCULON electronic heart rate measurement noninvasive cardiac output meter was used to monitor cardiac output(CO),thoracic fluid content(TFC) and stroke volume variation(SVV) in 140 normal newborns and 106 sick newborns. Results:In the normal group,the gestational age was 37~41 weeks,and the body weight was 3219~4241 g. Cardiac output(CO),thoracic fluid content(TFC),and stroke volume variation(SVV) were not associated with gestational age,whereas body mass was correlated with CO(r= 0.324,P=0.000). The hemodynamic parameters of pneumonia,infection,gallbladder,small sample and high-risk children were collected in the children’s group for statistical analysis. The CO value of the infants was lower than that of the newborns of the corresponding age and body mass in the normal group,while the SVR value was higher than that of the newborns of the corresponding age and weight in the normal group. Conclusion:The range of hemodynamics measured by electronic cardiometry has certain clinical value in the diagnosis and treatment of neonatal diseases.

关 键 词：新生儿 心输出量 无创监测 血管阻力 胎龄 体质量 

分 类 号：R722.1[医药卫生—儿科]