中心静脉压监测在老年心力衰竭患者治疗中的应用研究  

Application of central venous pressure monitoring in the treatment of elderly patients with heart failure

作　　者：黄万众 陈瑜[1] 顾娜[1] 秦艳[1] 陆丽娟[1] HUANG Wanzhong;CHEN Yu;GU Na;QING Yan;LU Lijuan(Department 0f Cardiology,Guangxi Jiangbin Hospital,Nanning,Guangxi 530021,China)

机构地区：[1]广西壮族自治区江滨医院心内科,南宁530021

出　　处：《重庆医学》2020年第S01期13-15,共3页Chongqing medicine

基　　金：广西壮族自治区卫生和计划生育委员会自筹经费科研课题(Z2016247)。

摘　　要：目的探讨中心静脉压监测在老年心力衰竭患者治疗中的临床意义及效果。方法选取2016年3-6月在该院心内科住院治疗,明确诊断为射血分数降低的心力衰竭(EFrHF)老年患者120例,采用随机数字表法随机分为中心静脉测压组及非中心静脉测压组,记录对比两组患者心功能好转(≤2级)所用时间及医疗费用,低钾血症、深静脉血栓、死亡等发生例数。结果中心静脉测压组在心功能好转时间优于非中心静脉测压组,差异有统计学意义(P<0.05),两组在住院费用、低钾血症、深静脉血栓、死亡例数方面比较,差异无统计学意义(P>0.05)。结论中心静脉测压应用在老年心力衰竭患者的治疗中,可以更快改善患者心功能,且不增加住院费用,不增加低钾血症、深静脉血栓、死亡等发生风险,安全有效,值得临床推广。Objective To study the clinical significance and effect of venous pressure monitoring in elderly patients with heart failure.Methods 120 elderly patients with heart failure(EFrHF)with lower ejection fraction were selected and randomly divided into central venous manometry group and non-central venous manometry group from March 2016 to June 2019.Cardiac function was recorded and compared between the two groups.Record and compare the time and medical cost of cardiac function improvement to level 2,hypokalemia,deep venous thrombosis,death and other cases between the two groups.Results The improvement time of cardiac function in the central venous manometry group was better than that in the non-central venous manometry group(P<0.05).There was no significant difference in hospitalization expenses,hypokalemia,deep venous thrombosis and death cases between the two groups(P>0.05).Conclusion The application of central venous manometry in the treatment of elderly patients with heart failure can improve their cardiac function faster,without increasing hospitalization costs,and without increasing the risk of hypokalemia,deep venous thrombosis,death,etc.It is safe and effective,and worthy of clinical promotion.

关 键 词：中心静脉压 老年患者 心力衰竭 

分 类 号：R54[医药卫生—心血管疾病]