主动脉内球囊反搏对血流动力学及临床预后的影响

Effects of intra-aortic balloon pump on hemodynamic monitoring and prognosis

目的:探讨主动脉内球囊反搏对血流动力学及临床预后的影响。方法:比较18例主动脉内球囊反搏治疗的患者治疗前后心率、收缩压、舒张压、平均动脉压、肺毛细血管嵌压、心脏指数、中心静脉压等血流动力学指标变化,并观察预后,比较死亡组与成活组主动脉内球囊反搏期间血流动力学差异。结果:主动脉内球囊反搏治疗后患者血流动力学改善明显(P<0.05),死亡3例(16.67%),死亡组与成活组主动脉内球囊反搏期间血流动力学差异有统计学意义(P<0.05)。结论:主动脉内球囊反搏可改善患者血流动力学指标及预后。治疗期间血流动力学监测可作为判断预后的重要指标。

Objective To explore the effects of intra-aortic balloon pump on hemodynamic monitoring and prognosis. Methods Eighteen patients with the therapy of intra-aortic balloon pump were compared the variation of the indexes including heart rate, systolic blood pressure, diastolic blood pressure, mean arterial blood pressure, pulmonary capillary wedge pressure, cardiac index and central venous pressure before and after intra-aortic balloon pump. The prognosis was observed and the hemodynamic monitoring indexes were compared between the death group and survival group. Results After intra-aortic balloon pump, the indexes of haemodynamics were improved significantly（P〈0.05）. There was a statistical diference between death group and survival group during intra-aortic balloon pump （P〈0.05）. Conclusion Intra-aortic balloon pump may improve the haemodynamic indices, amendmen prognosis. Hemodynamic monitoring is important for prognosis.