探讨应用被动抬腿试验联合中心静脉压预测老年脓毒症患者的容量反应性

To Explore the Application of Passive Leg Raising Combined With Central Venous Pressure Predict Volume Responsiveness in Elderly Patients With Sepsis

目的研究分析应用被动抬腿试验联合中心静脉压预测老年脓毒症患者的容量反应性。方法选取2015年10月~2016年3月我院收治的老年脓毒症患者40例,通过容量负荷试验后每搏量的增加值情况分为观察组与对照组。结果观察组患者扩容后心率低于对照组患者,差异具有统计学意义（P〈0.05）。观察组患者扩容后动脉压、每搏量、心输出量以及氧合指数均高于对照组患者,差异具有统计学意义（P〈0.05）。结论观察组患者扩容后心输出量增加,而中心静脉压降低,所以应用被动抬腿试验联合中心静脉压能有效预测老年脓毒症患者的容量反应性。

Objective To study the analysis application of passive leg joint central venous pressure prediction capacity reactivity in elderly patients with sepsis. Methods 40 patients with sepsis were select from October 2015 to March 2016 in our hospital, through the capacity load experiment after stroke volume of added value is divided into observation group and control group. Results Observation group of patients with enlarged heart rate was significantly lower than the control group patients, difference is statistically significant（P〈0.05）. Observation group of patients expansion after arterial pressure, stroke volume, cardiac output and oxygenation index were significantly higher than that of control group patients, difference is statistically significant（P〈0.05）. Conclusion To observe the way patients expansion increased markedly, and the middle of the back the output and central venous pressure has a significant decrease, so the application of combined central venous pressure passive leg lifts test can effectivelypredict the capacity of the elderly patients with sepsis reactivity.