摘要
目的探讨脉搏指示连续心排血量监测(PICCO)指导下感染性休克合并急性呼吸窘迫综合征(ARDS)患者的液体管理治疗及其对预后的影响。方法回顾分析2012年1月-2014年6月急诊重症监护室(EICU)的感染性休克患者84例。分为PICCO组和对照组,两组均记录心率、中心静脉压、中心静脉氧饱和度及氧合指数,对照组予早期目标指导治疗(EGDT),PICCO组在EGDT基础上应用PICCO进行液体管理。采用SPSS18.0统计软件进行数据分析。结果与对照组比较,PICCO组液体量明显减低(P<0.05),氧合指数明显高于对照组(P<0.05),使用呼吸机时间及入住EICU时间均小于对照组(P<0.05),但两组间死亡率比较,差异无统计学意义。结论 PICCO指导感染性休克合并ARDS患者的液体治疗,能降低复苏液体量,减少机械通气及EICU入住时间。
Objective To discuss fluid management therapy under pulse inducator continous cadiac output（PICCO） system monitoring on patients with septic shock complicated with ARDS and its influnce to the prognosis. Methods We retrospectively analyzed 84 cases of septic shock patients in EICU from Jan 2012 to Jun 2014. The patients were divided into PICCO group and control group. Heart rate, central venous pressure, central venous oxygen stauration and oxygenation index were recorded. EGDT was applied in control group. EGDT and PICCO were applied in PICCO group. SPSS software of versionl8. 0 was used to process and analyze data. Results Compared with the control group, fluid volume in PICCO group was decreased significantly. Oxygenation index in PICCO group was higher than that in the control group. The durations of mechanical ventilation and ICU admission were obviously less than the control group （ P 〈 0.05 ） , but the difference of death rate was not statistically significant. Conclusion Fluid management therapy for the treatment of septic shock complicated with ARDS under the monitoring of PICCO can reduce the quantity of resuscitation fluid,the duration of mechanical ventilation and ICU admission.
出处
《创伤与急危重病医学》
2014年第6期357-360,共4页
Trauma and Critical Care Medicine
关键词
感染性休克
急性呼吸窘迫综合征
脉搏指示连续心排血量监测
septic shock
acute respiratory distress syndrome （ARDS）
puLse inducator continous cadiac output（PICCO）
