检验医学与临床2015，Vol.12Issue(11)：1508-1510,3.DOI:10.3969/j.issn.1672-9455.2015.11.005
脉搏指示连续心输出量监测在感染性休克患者早期液体复苏中的临床价值
The value of capacity indicators to patients with septic shock in the fluid resuscitation
摘要
Abstract
Objective To investigate the impact of capacity indicators on the treatment about the pulse index based on continuous cardiac output monitoring to septic shock .Methods 80 cases of septic shock patients in our hos-pital were randomly divided into control group according to central venous pressure to guide fluid resuscitation ,and experimental group based on EVWL (extravascular lung water index) and GEDV (global end-diastolic volume) to guide fluid resuscitation therapy ,each group of 40 people ,and then efficacy and prognosis of patients after treatment by fluid were analysised in control group and experimental groupResults The lactate levels of experimental group was significantly lower than those in control group ,central venous oxygen saturation ,oxygenation index ,urine were significantly higher than those in control group ,the difference was statistically significant (P<0 .05);Stay time of experimental group patients in ICU ,mechanical ventilation time of experimental group patients ,drug use frequency of vasoactive were significantly shorter than those in control group ,the differences were statistically significant (P<0 .05);After 1 hour and 6 hours of treatment ,the EVLWI ,GEDVI ,MAP ,HR ,CVP and other indicators in two groups was not statistically significant (P> 0 .05) .Conclusion EVWL and GEDV guidance septic shock patients with early fluid resuscitation can improve the success rate of rehydration therapy significantly ,and improve the prog-nosis of patients ,reduce mortality ,which has important clinical reference significance .关键词
感染性休克/血管外肺水指数/液体复苏Key words
septic shock/extravascular lung water index/fluid resuscitation引用本文复制引用
唐宇涛,俞宁..脉搏指示连续心输出量监测在感染性休克患者早期液体复苏中的临床价值[J].检验医学与临床,2015,12(11):1508-1510,3.基金项目
广西壮族自治区卫生厅科研课题项目 (Z2013317). （Z2013317）
