摘要
目的探讨中心静脉压监测在重型颅脑损伤患者液体管理的价值。方法选取104例重症医学科收治的重型颅脑损伤患者为对象,按照随机数字法分为对照组与研究组,各52例,对照组采用常规方法进行治疗,研究组在CVP监测下治疗。结果治疗后12 h及24 h,研究组患者HR、MAO、PaO_2/FiO_2、尿量及CVP值均优于入组时及对照组(P<0.05);研究组治疗后良好率优于对照组(75.00%vs.55.77%),差异有统计学意义(P<0.05);研究组平均液体量为(3 657±1 108)ml,对照组为(4 879±1 268)ml,研究组少于对照组(P<0.05)。结论中心静脉压监测技术的应用可有效进行重症颅脑损伤者液体管理,提高患者治疗疗效,改善患者预后,防止患者并发症的发生。
Objective To investigate the significance of central venous pressure monitoring（CVP） in the evaluation of patients with severe cranial injury. Methods 104 cases of patients in ICU severe craniocerebral injury were chosen as the research object, randomly divided into the control group and study group, each of 52 cases, control group using conventional methods for treatment, the study group under CVP monitoring. Results 12 h and 24 h after treatment, patients in the study group, HR, MAO, PaO_2/FiO_2, urine volume and CVP value were better than those of the group and the control group（P〈0.05）, the study group after the treatment in the control group than the good rate（75.00% vs. 55.77%）, the difference was statistically significant（P〈0.05）, the average amount of liquid for the study group（3 657±1 108） ml, the control group（4 879±1 268） ml, the research group than in the control group（P〈0.05）. Conclusion The application of central venous pressure monitoring technology can effectively carry out liquid management in patients with severe craniocerebral injury, improve the curative effect of patients, improve the prognosis of patients and prevent the occurrence of complications.
出处
《中国继续医学教育》
2016年第33期100-101,共2页
China Continuing Medical Education
关键词
中心静脉压
重型颅损伤
危重程度
预后
Central venous pressure
Severe cranial injury
Critical degree
Prognosis
