超声心输出量在手术患者心功能监测中的应用

Application of Echocardiographic Output in Cardiac Function Monitoring of Patients Undergoing Surgery

目的探索超声心输出量在老年围手术期患者心功能监测中的应用。方法在2017年5月—2018年5月选取180例老年全麻择期手术患者为实验对象,采用随机化分组,咪达唑仑组90例,进行咪达唑仑麻醉,丙泊酚组90例,进行丙泊酚麻醉。结果咪达唑仑组T2、T3的CO、SV与T1时间段相比,呈下降趋势,丙泊酚组T2、T3的ET呈上升趋势,CO、SV呈下降趋势(P <0.05),而咪达唑仑组T2、T3的ET低于丙泊酚组,SV高于丙泊酚组(P <0.05)。结论超声心输出量在老年围手术期患者心功能监测中,可预测心功能变化情况。

Objective To explore the application of echocardiographic output in the monitoring of cardiac function in perioperative patients. Methods From May 2017 to May 2018, 180 patients with elective general anesthesia were selected as the experimental subjects. Randomized grouping, 90 cases of in the midazolam group were anesthetized with midazolam, and 90 patients in the propofol group were anesthetized with propofol. Results The CO and SV of T2 and T3 in the midazolam group were different from those in the T1 period, showing a decreasing trend. The ET of T2 and T3 in the propofol group showed an upward trend, and the CO and SV showed a downward trend (P<0.05), while the ET of T2 and T3 in the midazolam group was lower than that in the propofol group, and the SV was higher than that in the propofol group (P<0.05). Conclusion Ultrasound cardiac output can obtain significant effect in the monitoring of cardiac function in perioperative patients, and can predict the changes of cardiac function.