中国医学创新Issue(15)：52-54,3.DOI:10.3969/j.issn.1674-4985.2014.15.019
PICCO技术在老年重型颅脑损伤患者液体管理中的应用研究
Application Research of PICCO System Monitoring on the Old Patients with Severe Brain Injury
摘要
Abstract
Objective:To research the curative effect of PICCO system monitoring on the old patients with severe brain injury.Method:38 old patients with severe brain injury were selected in our ICU from October 2010 to December 2013,they were randomly divided into the control group and the study group,19 cases in each group.Patients with cardiopulmonary insufficiency,different level of chronic diseases such as diabetes,hypertension,malnutrition.The control group was given CVP monitoring rehydration,and the study group was given PICCO hemodynamic monitoring indicators for fluid management.The GCS score before treatment and 1 week after treatment,breathing machine auxiliary ventilation time and ICU length of hospital stay,acute pulmonary edema incidence and mortality,and recovery after 1 month of treatment between the two groups were observed and compared.Result:There was no statistically significant difference in GCS score of the two groups before treatment(P>0.05).The GCS score of the study group 1 week after treatment was significantly higher than that of control group,the difference was statistically significant(P<0.05).The time of mechanical ventilation and ICU length of hospital stay of the study group were significantly less than those of the control group,and the incidence and mortality of acute pulmonary edema were significantly lower than those of the control group,the differences were statistically significant(P<0.05).After 1 month of therapy,the recovery rate of study group was 68.4%,it was significantly higher than the control group(31.6%),the difference was statistically significant(P<0.05). Conclusion:PICCO in fluid management for old patients with severe brain injury can improve prognosis,is worthy of clinical promotion.关键词
PICCO/重型颅脑损伤/老年患者Key words
PICCO/Severe brain injury/Old patients引用本文复制引用
林燕金,陈甘海,李金庭,丁燕晶,黄文平..PICCO技术在老年重型颅脑损伤患者液体管理中的应用研究[J].中国医学创新,2014,(15):52-54,3.基金项目
广东省东莞市医疗卫生单位科技计划项目 （）
