摘要
目的研究使用脉搏指数连续心输出量(PICCO)技术在重型颅脑损伤病人液体管理中的临床意义。方法将48例重型颅脑损伤病人随机分为两组,治疗组(n=21)采用PICCO技术监测血流动力学指标进行液体管理,对照组(n=27)仅行常规监测。对两组病人的病死率、日平均液体量、肺水肿发生率、格拉斯哥昏迷评分(GCS)、住院时间以及治疗1个月后的恢复良好率进行分析比较。结果治疗组的肺水肿发生率和日平均液体量均低于对照组(P<0.05),但两组在GCS评分、住院时间、病死率、恢复良好率方面差异无统计学意义(P>0.05)。结论应用PICCO技术行危重病人的液体管理,可在一定程度上提高临床救治率,改善病人预后。
Objective To investigate the clinical significance of pulse indicator continuous cardiac output（ PICCO） monitoring technology in guidance of liquid management of patients with severe traumatic brain injury（TBI）. Methods A total of 48 severe TBI patients were randomly divided into treatment group（n = 21） and control group（n = 27）. The patients received PICCO monitoring for liquid management in order to monitor the hemodynamics indexes in treatment group and received conventional monitoring in control group. Then the mortality, the average daily amount of liquid, the incidence of pulmonary edema, glasgow coma scale（GCS） score,hospital stays and rate of recovery 1 month after treatment were compared between the two groups. Results The incidence of pulmonary edema and average daily amount of liquid were lower in treatment group than in the control group（P 〈 0.05）. But there were no significant differences in GCS, hospital stays, mortality and rate of recovery between the two groups（ P 〉 0.05）. Conclusion Application of PICCO monitoring in guiding the liquid management of patients with severe TBI can increase the clinical cure rate and improve the prognosis to some degree.
出处
《中国微侵袭神经外科杂志》
CAS
2016年第7期313-314,共2页
Chinese Journal of Minimally Invasive Neurosurgery
关键词
颅脑损伤
重型
脉搏指数连续心输出量
液体管理
craniocerebral trauma
severe
pulse indicator continuous cardiac output
liquid management
