脓毒性休克早期复苏患者应用微创方法监测血流动力学效果

发布时间：2018-11-18 12:24

【摘要】：目的观察脓毒症休克早期复苏患者应用微创方法监测血流动力学的效果,并与肺动脉漂浮导管(PAC)监测结果进行比较。方法选取21例脓毒性休克患者,入院后立即经传感器连接微创血流动力学监测仪监测心输出量(CO)、心脏指数(CI)、心率(HR)、平均动脉压(MAP)、体循环阻力指数(SVRI),同时放置PAC接监护仪监测上述指标。均给予充分液体复苏。比较治疗0、1、2、3、4、5、6 h两种监测方法测得上述指标的值,并计算其相关性。结果 19例患者顺利完成6 h的早期复苏治疗,2例因需外科手术干预退出研究。19例患者相同时间点PAC和微创血流动力学监测获得的CO、CI、HR、MAP、SVRI差异无统计学意义;PAC和微创血流动力学监测获得的CO相关系数为0.84,P0.05;CI相关系数为0.84,P0.05;HR相关系数为1,P0.05;MAP相关系数为0.98,P0.05;SVRI相关系数为0.72,P0.05。结论微创血流动力学监测技术是脓毒性休克早期复苏患者较好的血流动力学监测工具。
[Abstract]:Objective to observe the effect of using minimally invasive method to monitor hemodynamics in patients with septic shock early resuscitation and compare the results with that of pulmonary artery floating catheter (PAC). Methods 21 patients with septic shock were selected to monitor cardiac output (CO), heart index (CI), heart rate (CI), mean arterial pressure (HR), mean arterial pressure (MAP),) by using a transducer-connected microinvasive hemodynamic monitor immediately after admission. The systemic vascular resistance index (SVRI),) was monitored by PAC monitor at the same time. Both were given full fluid resuscitation. The values of the above indexes were measured by the two monitoring methods for 6 h and the correlation was calculated. Results 19 patients successfully completed early resuscitation for 6 hours, and 2 patients withdrew from the study due to surgical intervention. There was no significant difference in PAC and CO,CI,HR,MAP,SVRI obtained by minimally invasive hemodynamic monitoring in 19 patients at the same time point. The CO correlation coefficient obtained by PAC and minimally invasive hemodynamic monitoring was 0.84U P0.05CI correlation coefficient 0.84U P0.05U HR correlation coefficient was 1P0.05maph correlation coefficient was 0.98g P0.05map correlation coefficient. The correlation coefficient of SVRI was 0. 72% (P 0. 05). Conclusion minimally invasive hemodynamic monitoring technique is a good hemodynamic monitoring tool for early resuscitation patients with septic shock.
【作者单位】：梅州市人民医院;
【分类号】：R459.7

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