PiCCO监测技术在感染性休克患者液体复苏及血管活性药物应用中的指导作用

发布时间：2018-10-30 08:19

【摘要】：目的针对脉搏指示连续心输出量测定(PiCCO)监测技术在感染性休克患者液体复苏及血管活性药物应用中的指导作用进行研究,为患者病情观察治疗方案制定的监测方法的选择提供依据。方法选择2012年12月-2015年9月医院收治的感染性休克患者120例,随机分为对照组和观察组,各60例;对照组患者实施EGDT方案指导液体复苏,观察组患者采用PiCCO监测技术指导液体复苏;对两组患者的复苏、血管活性药物的使用、治疗效果等进行对比分析;采用SPSS16.5软件对数据进行统计分析。结果观察组患者的血管活性药物的应用与对照组比较,差异有统计学意义(P0.05);观察组患者的APACHEⅡ评分与对照组患者比较,差异有统计学意义(P0.05);观察组患者的PaO2/FiO2与对照组比较,差异有统计学意义(P0.05);观察组患者的复苏成功率为83.33%,对照组的复苏成功率为66.67%,差异有统计学意义(P0.05);观察组患者的ICU留置时间、机械通气时间、达到早期复苏目标(EGDT)时间、液体复苏时间与对照组比较,差异有统计学意义(P0.05);观察组患者肺水肿发生率和病死率与对照组比较,差异均有统计学意义(P0.05);观察组患者的乳酸水平、排尿量、ScvO2水平与对照组比较,差异有统计学意义(P0.05)。结论感染性休克患者在PiCCO监测技术下,液体复苏效果较好,对患者的血管活性药物的使用有积极的指导作用,值得在临床上进行推广。
[Abstract]:Objective to study the guiding role of pulse indicator continuous cardiac output (PiCCO) monitoring in fluid resuscitation and vasoactive drug use in septic shock patients. To provide a basis for the selection of monitoring methods for patients' disease observation and treatment. Methods 120 patients with septic shock from December 2012 to September 2015 were randomly divided into two groups: control group (n = 60) and observation group (n = 60). The patients in the control group were treated with EGDT regimen to guide fluid resuscitation, the patients in the observation group were treated with PiCCO monitoring technique, the patients in the two groups were resuscitated, the use of vasoactive drugs and the therapeutic effect were compared and analyzed. The data were analyzed by SPSS16.5 software. Results the use of vasoactive drugs in the observation group was significantly different from that in the control group (P0.05), the APACHE 鈪，

本文编号：2299458