摘要
目的探究感染性休克患者于早期复苏液体管理期间应用无创血流动力学监测技术的临床意义。方法84例感染性休克患者,依据随机数字表法分为对照组和观察组,各42例。所有患者均接受早期复苏液体管理,观察组应用无创血流动力学监测,对照组应用常规非无创血流动力学监测,对比两组干预前后血流动力学参数、并发症发生情况及观察组干预前后无创动力学监测指标[心率(HR)、心输出量(CO)、心脏指数(CI)、每搏输出量(SV)]。结果干预后,观察组舒张压、HR、血氧饱和度均优于对照组,差异均有统计学意义(P<0.05)。观察组并发症发生率2.38%低于对照组的16.67%,差异有统计学意义(P<0.05)。观察组干预前HR(178.61±12.35)次/min、SV(16.39±4.78)cm^(3)、CI(5.57±1.37)L/(min·m^(2))、CO(2.14±0.74)L/min;干预后HR(121.48±13.06)次/min、SV(20.36±5.18)cm^(3)、CI(4.25±1.16)L/(min·m^(2))、CO(2.48±0.42)L/min。观察组干预后HR、CO、CI、SV水平均优于本组干预前,差异均有统计学意义(P<0.05)。结论在早期复苏液体管理期间应用无创血流动力学监测技术对于外周血管阻力、CI可以准确区分,有利于提升患者灌注水平,可改善血流动力学参数以及氧代谢,值得借鉴推广。
Objective To investigate the significance of non-invasive hemodynamic monitoring technique in early resuscitation fluid management of septic shock patients.Methods A total of 84 patients with septic shock were divided into control group and observation group according to random numerical table,with 42 cases in each group.All patients received early resuscitation fluid management.The observation group received non-invasive hemodynamic monitoring,and the control group received conventional non-invasive hemodynamic monitoring.The hemodynamic parameters before and after intervention and complications of the two groups were compared,as well as non-invasive dynamic monitoring indexes[heart rate(HR),cardiac output(CO),cardiac index(CI),stroke volume(SV)]of the observation group before and after intervention.Results After intervention,the diastolic blood pressure,HR and oxygen saturation of the observation group were better than those of the control group,and the differences were statistically significant(P<0.05).The complication rate of the observation group was 2.38%,which was lower than that of 16.67%of the control group,and the difference was statistically significant(P<0.05).In the observation group,HR,SV,CI and CO were(178.61±12.35)times/min,(16.39±4.78)cm^(3),(5.57±1.37)L/(min·m^(2))and(2.14±0.74)L/min before intervention,and(121.48±13.06)times/min,(20.36±5.18)cm^(3),(4.25±1.16)L/(min·m^(2))and(2.48±0.42)L/min after intervention.The levels of HR,CO,CI and SV in the observation group after intervention were better than those before intervention in this group,and the differences were statistically significant(P<0.05).Conclusion The application of non-invasive hemodynamic monitoring technique during early resuscitation fluid management can accurately distinguish peripheral vascular resistance and CI,which is beneficial to improve the patient's perfusion level,and can improve hemodynamic parameters and oxygen metabolism.It is worthy of reference and promotion.
作者
李媛媛
LI Yuan-yuan(Second District of Intensive Care Medicine,Yanzhou District People's Hospital,Jining 272100,China)
出处
《中国实用医药》
2023年第9期150-152,共3页
China Practical Medicine
关键词
无创血流动力学监测技术
感染性休克
早期复苏液体管理
应用意义
Non-invasive hemodynamic monitoring technique
Septic shock
Early resuscitation fluid management
Application significance
