每搏量变异对顽固性感染性休克患者容量反应性的临床评估分析

发布时间：2018-02-26 00:24

本文关键词： 顽固性感染性休克每搏量变异容量反应性评估　出处：《中华医院感染学杂志》2016年11期 　论文类型：期刊论文

【摘要】：目的探讨每搏量变异(SVV)对顽固性感染性休克患者容量反应性的评估作用,指导顽固感染性休克患者的临床治疗。方法选取医院2013年1月-2014年12月30例感染性休克患者作为研究对象,对其进行容量负荷试验,并依据每搏量指数(SVI)进行分组,即反应组18例与无反应组12例,对两组试验前后的心率(HR)、平均动脉压(MAP)、中心静脉压(CVP)以及心脏指数(CI)、SVI、SVV和全心舒张末容积指数(GEDVI)以及胸腔内血容量指数(ITBVI)进行对比观察。结果试验前两组患者HR、MAP、CVP、CI、SVI、GEDVI、ITBVI比较,差异无统计学意义;试验后反应组HR明显降低,CI、SVI、MAP、CVP、GEDVI、ITBVI明显升高;试验后无反应组GEDVI、ITBVI明显升高,而HR、MAP、CVP、CI、SVI无明显变化,且两组间HR、CI、SVI、GEDVI、ITBVI比较,差异有统计学意义(P0.05);试验前反应组SVV明显的高于无反应组,差异有统计学意义(P0.05);试验后反应组SVV明显的低于无反应组,差异有统计学意义(P0.05)。结论临床中应用SVV对顽固性感染性休克患者的容量反应性可以较好的进行评估,且临床中应用价值高。
[Abstract]:Objective to evaluate the effect of SVV on volumetric reactivity in patients with intractable septic shock. Methods from January 2013 to December 30th 2014, the patients with septic shock were selected as the study subjects, and were divided into groups according to the volume load test (SVI) and the stroke volume index (SVI). There were 18 cases in the reaction group and 12 cases in the non-reaction group. Heart rate (HRV), mean arterial pressure (MAPP), central venous pressure (CVP), cardiac index (SVI), total cardiac end-diastolic volume index (GE DVI) and intrathoracic blood volume index (ITBVI) were compared between the two groups before and after the trial. There was no significant difference in HR between the two groups after the trial, the HR of the reaction group was significantly lower than that of the control group, and the ITBVI of the non-response group was obviously increased, but the HRMAPV / CVPnCVI was not changed, and the comparison between the two groups was made between the two groups in the SVII-GEDVII-ITBVI, and in the non-response group, there was no significant difference in the ITBVI between the two groups, and there was no significant difference between the two groups. The difference was statistically significant (P 0.05), the SVV of the reaction group was significantly higher than that of the non-reaction group (P 0.05), the SVV of the reaction group was significantly lower than that of the non-reaction group after the test. Conclusion the volume reactivity of SVV in patients with refractory septic shock can be evaluated well, and the clinical application value is high.
【作者单位】：海南省人民医院重症医学科;
【基金】：海南省自然科学基金资助项目(814321)
【分类号】：R459.7

【相似文献】