基于无创动态心输出量测量系统的被动抬腿负荷试验临床应用专家共识  

Expert consensus on clinical application of passive leg raising test based on non-invasive cardiac output measurement system

作　　者：中国医疗保健国际交流促进会重症医学分会 张海涛 黄慧玲[3] 张静[4] China International Exchange and Promotive Association for Medical and Health Care;ZHANG Hai-tao;HUANG Hui-ling

机构地区：[1]不详 [2]中国医学科学院阜外医院 [3]中山大学附属第一医院 [4]华中阜外医院&河南省人民医院

出　　处：《中国心血管病研究》2022年第12期1062-1067,共6页Chinese Journal of Cardiovascular Research

摘　　要：抬腿负荷试验(passive leg raising,PLR)是一种易于操作、可靠的容量评估方法,是自主呼吸患者容量反应性评估的“金标准”,也是评估容量状态和重症心血管患者能否开始Ⅰ期主动康复治疗的有效评估手段。以高分辨率心阻抗图法为基础的无创动态心输出量测量系统(无创动态心排)具有实时、连续、精准监测血流动力学变化的特点。结合无创动态心排的PLR在临床具有广泛的应用场景和前景,鉴于此,中国医疗保健国际交流促进会重症医学分会专家委员会邀请国内无创动态心排领域具有丰富经验的专家,在总结国内外既往相关研究和现有的经验基础上,制定中国首部《基于无创动态心输出量测量系统的被动抬腿负荷试验临床应用专家共识》,旨在规范化指导临床实践,为重症患者的个体化治疗和心脏康复方案的制定提供依据。Passive leg raising(PLR)test accurately predicts the fluid responsiveness in spontaneously breathing patients and determines the timing for phase I cardiac rehabilitation.Non-invasive cardiac output measurement based on high-definition impedance cardiography(HD-ICG)allows for continuous,real-time monitoring of hemodynamic changes.The performance,stability,and usability of HD-ICG enable physiologists to explore new areas of cardiac performance.Experts on cardiac rehabilitation and members of the China International Exchange and Promotive Association for Medical and Health Care prepared this consensus document,which summarized the current knowledge about the indications,contraindications,procedure and interpretations of the PLR test based on non-invasive cardiac output measurement system.

关 键 词：抬腿负荷试验 无创动态心输出量测量 Ⅰ期心脏康复 

分 类 号：R54[医药卫生—心血管疾病]