PICCO监测指导容量控制在急性左心衰中的应用

Application of PICCO Monitoring to Guide Volume Control in Acute Left Heart Failure

目的:观察PiCCO监测对急性左心衰竭患者临床治疗的影响。方法:选择70例急性左心衰收住ICU患者,35例给予PiCCO监测。对照组仅根据临床体征及尿量调节液体量,观察组在PiCCO监测下实施利尿剂液体输入干预,比较两组BNP水平及液体管理有效程度。结果:观察组BNP水平降至(1691.83±46.19)pg/mL,对照组降至(3275.71±56.42)pg/mL;观察组心脏指数、心输出量分别上升至(4.62±0.58)L/min/m2与(4.57±0.17)L/min,血管外肺水指数、胸腔内血管容量分别下降至(5.69±0.33)mL/kg、(0.72±0.08)L/m2,改善程度均大于对照组。结论:PiCCO监测在急性左心衰治疗中对液体输入量可起到较好的监测指导作用,具有应用价值。

Objective:To observe the effect of PiCCO monitoring on clinical treatment of patients with acute left heart failure.Methods:Seventy patients with acute left heart failure were enrolled in ICU patients,and 35 patients were monitored with PiCCO.The control group only adjusted the fluid volume according to the clinical signs and urine volume.The observation group underwent the diuretic liquid input intervention under the monitoring of PiCCO,and compared the BNP level and the effective management degree of the liquid in the two groups.Results:The BNP level in the observation group decreased to(1691.83±46.19)pg/mL,and the control group decreased to(3275.71±56.42)pg/mL.The cardiac index and cardiac output of the observation group increased to(4.62±0.58)L/min/m2,respectively.With(4.57±0.17)L/min,the extravascular lung water index and intrathoracic vascular volume decreased to(5.69±0.33)mL/kg,(0.72±0.08)L/m2,respectively,and the improvement degree was greater than that of the control group.Conclusion:PiCCO monitoring can play a good role in monitoring the fluid input in the treatment of acute left heart failure,and has application value.