重症超声联合PICCO技术对采用液体复苏感染性休克患者的治疗效果及安全性影响  

Therapeutic Effect and Safety Impact of Critical Care Ultrasound Combined with PICCO Technique on the Treatment of Patients with Infectious Shock by Fluid Resuscitation

作　　者：周天天 孙尊鹏[1] ZHOU Tiantian;SUN Zunpeng(Department of Critical Care Medicine,Nanjing Jiangning Hospital,Nanjing,Jiangsu Province,211100 China)

机构地区：[1]南京市江宁医院重症医学科,江苏南京211100

出　　处：《世界复合医学》2023年第10期174-177,共4页World Journal of Complex Medicine

摘　　要：目的探究重症超声联合脉搏指示连续心排血量监测(pulse indicates continuous cardiac output,PICCO)技术对采用液体复苏感染性休克患者的治疗效果及安全性影响。方法选取南京市江宁医院2020年1月—2023年6月收治的152例患者作为研究对象,根据随机数表法分为对照组及观察组,各76例。对照组予以予以中心静脉压(central venous pressure,CVP)联合PICCO技术进行监测技术;观察组在液体复苏过程中予以重症超声联合PICCO技术。对比两组液体总入量、血气指标、心脏超声指标及安全性。结果观察组液体总入量、乳酸、二氧化碳分压均低于对照组,且血氧饱和度、血氧分压均高于对照组,差异有统计学意义(P<0.05)。观察组左室射血分数高于对照组,且左心室舒张末内径、左室舒张末容积、下腔静脉呼吸变异指数均低于对照组,差异有统计学意义(P<0.05)。观察组不良事件发生率(2.63%)低于对照组,差异有统计学意义(χ^(2)=4.802,P<0.05)。结论对于采用液体复苏治疗的感染性休克患者,采取重症超声联合PICCO监测技术有助于提高液体复苏的治疗效果,并提高其安全性。Objective To investigate the therapeutic effect and safety of critical care ultrasound combined with pulse indicates continuous cardiac output(PICCO)technology on the treatment of patients with infected shock by fluid resuscitation.Methods 152 patients admitted to Jiangning Hospital in Nanjing from January 2020 to June 2023 were selected as the research subjects,and randomly divided into a control group and an observation group,with 76 patients in each group.The control group was monitored with central venous pressure(CVP)combined with PICCO technology.The observation group received severe ultrasound combined with PICCO technology during fluid resuscitation.Compared the total fluid intake,blood gas indicators,cardiac ultrasound indicators,and safety between the two groups.Results The total liquid intake,lactate,and partial pressure of carbon dioxide in the observation group were lower than those in the control group,and the blood oxygen saturation and partial pressure of blood oxygen were higher than those in the control group,the differences were statistically significant(P<0.05).The left ventricular ejection fraction in the observation group was higher than that in the control group,and the left ventricular end diastolic diameter,left ventricular end diastolic volume,and inferior vena cava respiratory variability index were all lower than those in the control group,the differences were statistically significant(P<0.05).The incidence of adverse events in the observation group(2.63%)was significantly lower than that in the control group,the difference was statistically significant(χ^(2)=4.802,P<0.05).Conclusion For patients with infectious shock treated with fluid resuscitation,the adoption of critical care ultrasound combined with PICCO monitoring technology can help to improve the therapeutic effect of fluid resuscitation and enhance its safety.

关 键 词：重症超声 脉搏指示连续心排血量监测技术 液体复苏 感染性休克 液体总入量、血气指标、心脏超声指标 

分 类 号：R4[医药卫生—临床医学]