超声指导下腔静脉塌陷指数在重症脓毒症患者液体复苏中的应用价值

发布时间：2018-02-09 05:33

本文关键词： 重症脓毒症液体复苏下腔静脉塌陷指数　出处：《中国老年学杂志》2017年17期 　论文类型：期刊论文

【摘要】：目的探讨超声指导下腔静脉塌陷指数在重症脓毒症患者液体复苏中的应用价值。方法 320例在重症脓毒症患者按照随机数字表法分为对照组和观察组,每组160例,对照组采取常规治疗,观察组采取超声指导治疗,观察对比两组患者的心率(HR)、呼吸频率(RR)、乳酸值(LAC)、脉搏血氧饱和度(Sp O2)、中心静脉压(CVP)和中心静脉血氧饱和度(Scv O2)、液体量、住院时间、住重症监护病房(ICU)时间及机械通气时间。结果治疗后两组HR、RR和LAC均低于治疗前,Sp O2、CVP和Scv O2均高于治疗前(P0.05)。治疗后24 h和48 h内观察组液体输入量、输出量和正平衡量均低于对照组(P0.05)。两组住院时间比较差异无统计学意义(P0.05);但观察组住ICU时间、机械通气时间、7 d死亡率及28 d死亡率差异有统计学意义(P0.05)。结论超声指导治疗可减少重症脓毒症患者液体复苏的液体量,缩短ICU时间和机械通气时间,对指导重症脓毒症患者液体复苏具有重要价值。
[Abstract]:Objective to investigate the application value of ultrasound guided inferior vena cava collapse index in patients with severe sepsis during fluid resuscitation. Methods 320 cases of patients with severe sepsis were randomly divided into control group and observation group, 160 cases in each group, the control group received routine treatment, observation group was treated with ultrasound guided treatment, were compared between the two groups the patient's heart rate (HR), respiratory rate (RR), lactate (LAC), pulse oxygen saturation (Sp O2), central venous pressure (CVP) and central venous oxygen saturation (Scv O2), hospitalization time, liquid volume, ICU (ICU) time and duration of Mechanical ventilation treatment. Results after the two groups of HR, RR and LAC were lower than those before treatment, Sp O2, CVP Scv and O2 were higher than those before treatment (P0.05). After the treatment of 24 h and 48 h in the observation group liquid input, output and positive balance amount were lower than the control group (P0.05). The two groups were no difference in hospitalization time (meaning P0.05 But the observation group); ICU stay, mechanical ventilation time, there were significant differences between the 7 d mortality rate and mortality rate of 28 d (P0.05). Conclusion ultrasound guiding treatment can reduce the amount of fluid resuscitation in patients with severe sepsis, shorten the time of ICU and time of mechanical ventilation, and has important value for guiding liquid in patients with severe sepsis recovery.

【作者单位】：中南大学湘雅医学院附属海口医院重症医学科;
【分类号】：R459.7

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