摘要
目的对比研究彩色多普勒超声心动图(CDE)、Swan-Ganz导管和脉波指示剂连续心排血量(PiCCO)监测仪在血流动力学检测中的相关性。方法选取2006年3月至2008年10月入苏州市立医院东区ICU的心功能不全的危重病患者共8例,男5例,女3例,平均(51.4±21.1)岁。记录患者一般情况,并置入PiCCO导管和Swan-Ganz导管,通过CDE、Swan-Ganz导管法和PiCCO导管法同步测量每搏输出量(SV)和每分输出量(CO),比较三种方法所测数据的相关性。结果运用CDE、Swan-Ganz导管法和PiCCO导管法测量所得的SV依次为(62.4±29.3)ml、(53.1±14.0)ml和(49.9±14.7)ml。组间差异无统计学意义(P均<0.05),组间均具有相关性,相关系数值分别为0.78、0.91和0.76;测量所得的CO分别为(5.9±2.2)L/min、(5.1±1.4)L/min和(5.0±1.4)L/min。组间差异无统计学意义(P均<0.05),组间均具有相关性,相关系数值值分别为0.75、0.96和0.72。结论 CDE、Swan-Ganz导管和PiCCO监测仪检测的SV、CO具有相关性。
Objective To investigate the correlation among color Doppler echocardiography （CDE）, Swan-Ganz catheter and pulse indicator continuous cardiac output （PiCCO） monitor in hemodynamic measurement. Methods Eight critically ill patients with cardiac insufficiency from May 2006 to October 2008 were enrolled in this study. General conditions of the patients were recorded. Swan-Ganz catheter and PiCCO catheter were inserted. Stroke volume （SV） and cardiac output （CO） detected by CDE, Swan-Ganz catheter and PiCCO monitor were analyzed and compared. Results The data of SV from CDE, Swan-Ganz catheter and PiCCO monitor were （62.4±29.3）ml, （53.1±14.0）ml and （49.9±14.7）ml, respectively. There was no significant difference among them （all P〈0.05） and every two of them were connected. The data of CO were （5.9±2.2） L/min, （5.1±1.4） L/rain and （5.0±1.4） L/rain, respectively. No obvious difference was found （all P〈0.05） and every two of them were correlated. Conclusion SV and CO measured by CDE, Swan-Ganz catheter and PiCCO monitor were correlated with one another.
出处
《中华危重症医学杂志（电子版）》
CAS
2010年第2期20-23,共4页
Chinese Journal of Critical Care Medicine:Electronic Edition
