摘要
对32例重症患者予生命体征监测,并在入ICU即刻及12h,以及病情变化时用自制的胃肠粘膜张力计测定胃粘膜内pH值(pHi)。结果发现:入ICU即刻及12h的生命体征监测指标在死亡组与生存组之间无显著差异,而死亡组pHi却显著降低;脓毒血症组的pHi显著低于非脓毒血症组。实验结果表明,pHi反映内脏器官的氧合情况,反映病情危重度,可用来判断预后及指导治疗,作为ICU监护中的一项早期、敏感的指标。
Vital signs of 32 critical patients were monitored, and gast ic intramucosal ph (pHi) was determined with a self-made tonometer on ICU admission and at 12 hr after the admission. The results were as follows:!) there was no significant difference of vital signs between survivors and nonsurvivors; 2)pHi of nonsurvivors was statistically lower than that of survivors; and 3)pHi was remarkablly higher in nonsepsis patients than in sepsis patients. The results show that pHi is a simple, reliable, senstive and accurate parameter to indicate the degree of tissue oxygenation and critical condition of the patients and is of great value in ICU monitoring.
出处
《解放军护理杂志》
1996年第1期7-9,共3页
Nursing Journal of Chinese People's Liberation Army
基金
全军医药卫生科研基金资助项目
编号91A016-0050