持续心输出量监测技术在高龄心力衰竭患者中的应用  

Application of PICCO monitoring technology in elderly patients with heart failure

作　　者：涂国红[1] 刘宏伟[1] 高娜[1] 李晓倩[1] 刘宏斌[1] Tu Guohong;Liu Hongwei;Gao Na(Cardiology of The Second Medical Center&National Clinical Research Center for Geriatric Diseases,Chinese PLA General Hospital,Beijing 100853,China)

机构地区：[1]解放军总医院第二医学中心心血管内科监护室国家老年疾病临床医学研究中心,北京100853

出　　处：《中华保健医学杂志》2022年第1期15-17,共3页Chinese Journal of Health Care and Medicine

摘　　要：目的探讨脉搏指示持续心输出量监测技术(pulse indicated conitinuous cardiac output,PICCO)在高龄心力衰竭患者中的使用效果。方法采用便利抽样法,选择2015年10月~2020年6月解放军总医院第二医学中心心血管内科收治的高龄心力衰竭患者106例,依据入院日期先后分为对照组和长期观察组各53例,对照组给予常规的CCU护理,并采用中心静脉压监测,观察组给予常规护理,并采用优化后的PICCO技术护理流程进行监测。观察两组患者CCU滞留时间、机械通气时间、穿刺部位感染率、死亡率和急性生理学及慢性健康状况评分(APACHEⅡ)评分。结果观察组的CCU滞留时间、机械通气持续时间、合并症发生率、死亡率分别为(4.50±0.26)、(3.75±0.48)、3.77%和1.89%,4项指标均小于对照组;APACHEⅡ评分大于对照组,差异有统计学意义(P<0.05)。结论PICCO监测技术能够有效降低心力衰竭高龄患者的CCU滞留时间和机械通气时间,从而降低疾病的发生率和死亡率,提高APACHEⅡ评分,优化后的PICCO的管理流程评价效果较好。Objective To explore the effect of pulse indicated conitinuous cardiac output monitoring technology(PICCO)in elderly patients with heart failure.Methods The convenience sampling method was used to select 106 elderly patients with heart failure admitted to our department from October 2015 to June 2020 as the research objects.According to the date of admission,they were divided into the control group and the long-term observation group with 53 cases each.The control group was given routine CCU care and monitoring of central venous pressure,and the observation group was given routine care,and the optimized PICCO technical nursing process was used for monitoring.Observe the CCU residence time,mechanical ventilation time,puncture site infection rate,mortality rate,acute physiology and chronic health status score(APACHEⅡ)score of the two groups of patients.Results The CCU retention time,mechanical ventilation duration,comorbidity rate,and mortality rate of the observation group were 4.50±0.26,3.75±0.48,3.77%,and 1.89%,respectively.The four indicators were lower than those of the control group(P<0.05);APACHEⅡThe score is greater than that of the control group(P<0.05).Conclusion PICCO monitoring technology can effectively reduce the CCU retention time and mechanical ventilation time of elderly patients with heart failure,thereby reducing the incidence and mortality of the disease,increasing the APACHEⅡscore,and the optimized PICCO management process evaluation effect is better.

关 键 词：高龄 心力衰竭 PICCO 临床应用 护理 

分 类 号：R541[医药卫生—心血管疾病]