电阻抗无创心功能监测在危重患者的临床应用及护理

Clinical application and nursing care of impedance cardiography monitoring in critically ill patients

目的探讨电阻抗无创心功能(ICG)监测技术在危重患者诊治中的临床应用和护理方法。方法将60例危重患者随机分为ICG组和常规组,各30例。ICG组采用新型ICG技术监测患者的心功能;常规组行肺动脉漂浮SWAN-GANZ导管进行监测,未行ICG监测。结果与常规组相比,ICG组治疗后72 h ICG监测的各项指标明显改善,急性生理与慢性健康评分(APACHEⅡ)降低,肺水肿发生率、ICU停留时间以及辅助机械通气时间均明显减少(P<0.01或P<0.05),但2组病死率比较无显著差异(P>0.05)。结论应用ICG监测技术诊治危重患者可为患者提供安全可靠的心功能监测指标,使医生和护士随时掌握患者的血流动力学状况,而护理是ICG监测技术顺利进行的保证。

Objective To investigate the clinical application and nursing care of impedance cardiography （ICG）monitoring in the diagnosis and treatment of critically ill patients.Methods A total of 60 critically ill patients were divided into 2 groups according to whether to use ICG monitoring or not：ICG group and control group,30 cases in each.ICG group was given the new ICU technology to monitor cardiac function while control group was performed with SWAN-GANZ moni-toring without ICG.Results Compared with control group,all the indexes of ICG monitoring in ICG group were significantly improved after 72 h treatment,and acute physiology and chronic health evaluation （APACHE Ⅱ）,the incidence of pulmonary edema,ICU stay,the time of auxil-iary mechanical ventilation time were significantly reduced （P〈0.01,or P 〈0.05）,but the mortality of 2 groups was no statistically significant difference （P〉0.05）.Conclusion Application of ICU monitoring technology can provide reliable cardiac function monitoring indexes for the diagnosis and treatment of critically ill patients and make the doctors and nurses to master the hemodynamics status of patients at any time,and based on this,nursing care is a guarantee for the smooth application of ICG monitoring technology.