中国医学创新2025，Vol.22Issue(13)：124-128,5.DOI:10.3969/j.issn.1674-4985.2025.13.028
动态监测下腔静脉塌陷指数在婴幼儿重症肺炎合并心衰液体治疗中的临床应用
Clinical Application of Dynamic Monitoring of Inferior Vena Cava Collapse Index in Fluid Treatment of Severe Pneumonia Complicated with Heart Failure in Infants
摘要
Abstract
Objective:To explore the clinical application of dynamic monitoring of inferior vena cava collapse index in the treatment of severe pneumonia complicated with heart failure in infants.Method:A total of 80 infants with severe pneumonia complicated with heart failure admitted to Jiujiang Maternal and Child Health Hospital from January to May 2024 were selected and divided into control group(conventional treatment alone)and study group(fluid treatment guided by the dynamic monitoring of inferior vena cava collapse index on the basis of the control group)according to random number table method,with 40 cases in each group.The clinical efficacy,clinical outcome,cardiac function index and arterial blood gas index of the two groups were compared.Result:The total clinical effective rate of the study group was higher than that of the control group,the difference was statistically significant(P<0.05).The hospitalization time of the study group was shorter than that of the control group,and the hospitalization cost was less than that of the control group,the differences were statistically significant(P<0.05).After treatment,left ventricular ejection fraction(LVEF),stroke volume(SV),cardiac output(CO),cardiac index(CI),pulse oximetry satiety(SpO2)and arterial partial oxygen pressure(PaO2)in both groups were higher than those before treatment,while heart rate(HR)and partial pressure of carbon dioxide(PaCO2)were lower than those before treatment,LVEF,SV,CO,CI,SpO2 and PaO2 in the study group were higher than those in the control group,while HR and PaCO2 were lower than those in the control group,the differences were statistically significant(P<0.05).Conclusion:The effect of dynamic monitoring of inferior vena cava collapse index to guide the treatment of infants with severe pneumonia complicated with heart failure fluid is significant,and the clinical outcome,heart function and arterial blood gas level of infants are significantly improved.关键词
动态监测/下腔静脉塌陷指数/婴幼儿/重症肺炎/心衰/液体治疗/临床结局/心功能/动脉血气水平Key words
Dynamic monitoring/Vena caval collapse index/Infant/Severe pneumonia/Heart failure/Fluid treatment/Clinical outcome/Heart function/Arterial blood gas levels引用本文复制引用
陈坚,郭秋鹏,穆细院,柯海荣,周帆..动态监测下腔静脉塌陷指数在婴幼儿重症肺炎合并心衰液体治疗中的临床应用[J].中国医学创新,2025,22(13):124-128,5.基金项目
九江市科技计划项目(S2023ZDYFN401) （S2023ZDYFN401）
