ICU严重心力衰竭患者PICCO监测与护理.pdfVIP

2016年4月第23卷第4期 •529• •论著• （护理研究) ICU严重心力衰竭患者PICCO监测与护理 姚玉玲， 任卫红， 杨明月， 邓勇进 (东莞市人民医院重症医学科, 广东东莞 523059) 【摘要】 目的 分析动脉波形连续心输出量 （PIVVO) 监测在IVU严重心力衰竭患者中的应用效果和护理 方法 选择2014 年1月至2015年3 月我院IVU收治的严重心力衰竭患者37例作为研究对象， 均行PIVVO监测， 观察患者监测前后PIVVO监 测指标变化情况， 并比较不同预后患者PIVVO监测指标的差异 结果 37例严重心力衰竭患者中死亡 15例， 死亡率为40.54％ PIVVO监测撤离后， VI VFI显著高于监测时， ITBVI EVLEI显著低于监测时 （P 0.05) 存活组和死亡组VI VFI比较差异 无统计学意义 （P 0.05)， 但存活组ITBVI EVLEI显著低于死亡组 （P 0.05) 结论 PIVVO监测可反映出严重心力衰竭患者 心功能及预后情况， 应做好PIVVO监测的护理， 以提高监测效果 【关键词】 心力衰竭； PIVVO监测； 心功能； 预后； 护理 中图分类号: R473.5 文献标识码:A doi:10.3969/j.issn.1674 4659.2016.04.0529 PICCOMonitoringandNursingofPatientswithSevereHeartFailureinICU YAOYuling,RENWeihong,YANGMingyue,DENGYongjin (IntensiveCareUnit,DongguanPeoplesHospital,Dongguan523059,China) [Abstract] Objective To analyze the application effect and nursing of arterial pulse-indicated continuous cardiac output (PICCO) monitoring on patients with severe heart failure in ICU. Methods From January 2014 to March 2015, thirty-seven patients with severe heart failure treated in ICU of our hospital were selected. All patients were implemented PICCO, and the changes of PICCO indices before and after monitoring were observed, the difference of PICCO indices in different prognosis patients was compared. Results Of 37 patients with severe heart failure, 15 patients died, the mortality was 40.54%. After PICCO monitoring, the CFI and CI significantly increased, the ITBVI and EVLEI significantly decreased, P0.05. The CFI and CI of survival group and death group had no statistical difference (P0.05), but the ITBVI and EVLEI of s