脉波轮廓温度稀释连续心排量测量仪在腹腔间隙综合征患者中的应用及护理

Application and nursing care of puise indicator continuous cardiac output in patients with abdominal compartment syndrome

目的探讨脉波轮廓温度稀释连续心排量测量仪(Puise Indicator Continuous Cardiac Output,PiCCO)在腹腔间隙综合征(ACS)患者中的应用效果。方法 2009年9月至2010年9月入住外科重症监护病房(SICU)的18例ACS患者为常规组;2010年10月至2011年10月的18例ACS为PiCCO组。比较两组腹内高压持续的时间、呼吸机使用的时间、入住ICU的时间。结果常规组与PiCCO组患者腹内高压持续的时间、呼吸机使用时间、入住ICU时间经双侧t检验,差异有统计学意义(P<0.05),其中PiCCO组腹内高压持续的时间明显短于常规组,呼吸机使用时间和入住ICU的时间短于常规组。结论 PiCCO对指标的监测精确、敏感,能及时反映ACS患者的病情变化,指导疾病的诊断与治疗,防止病情进一步恶化。

Objective To investigate the effect of Puise Indicator Continuous Cardiac Output（PiCCO） in patients with abdominal compartment syndrome（ACS）.Methods Eighteen patients with ACS in surgical intensie care unit（SICU） from Sep.2009 to Sep.2010 were selected into control group;and another 18 patients from Oct.2010 to Oct.2011 were selected into PiCCO group.The time of intra-abdominal hypertension existed,ventilator used and ICU stayed were compared.Results The intra-abdominal hypertension existed time,ventilator used time and ICU stayed time of PiCCO group were respectively shorter than those of control group.Conclusion Index of PiCCO is more accurate and sensitive in monitoring the changes of patient withACS in time,and hence can guide the diagnosis and therapy of diseases.