无创心脏血流动力学参数在慢性心力衰竭诊疗中的应用.docVIP

精品论文 参考文献 无创心脏血流动力学参数在慢性心力衰竭诊疗中的应用 郑曙光 (浙江省兰溪市人民医院 321100) 【摘 要】目的 研究分析无创血流动力学指标在慢性心力衰竭诊治中的临床应用价值。方法 选择我院自2010 年以来接纳的住院治疗慢性心力衰竭的患者87 例，采用数 字化无创血流动力学监测系统测量心率以及患者的动脉血压等指标；将所得到的无创血流动力学指标同患者的心功能分级及心脏彩超LVEF 的结果进行对比，同时对治疗前后 的结果进行比较。结果 慢性心力衰竭指标心功能II、III、IV 级之间两两比较均存在统计学上的差异(Plt;0.05)，ACI 的指标在患者身上所显示出的核心功能分级却并不存在统计 学上的差异(Pgt;0.05)；治疗前后对比结果表明，患者的每搏指数和心输出量以及其心脏指数等诊断心衰的指标治疗后均显著上升，判断后负荷的阻力指数、外周血管阻力治疗 后也显著下降，慢性心力衰竭在治疗前后也存在明显的统计学差异(Plt;0.05)，VI、ACI 指标在治疗前后无明显改变(Pgt;0.05)。结论 无创动力学指标中的慢性心力衰竭可谓是心 力衰竭程度诊治中最为敏感的指标；部分患者需要经历较长时间的治疗才能获得收缩功能的改善。 【关键词】无创血流动力学指标；慢性心力衰竭 Abstract：Objective to study the clinical application value of noninvasive hemodynamics index in treating chronic heart failure. Methods in our hospital admission in 87 patients since 2010 for the treatment of chronic heart failure，using digital noninvasive hemodynamic monitoring system for measurement of heart rate and arterial blood pressure in patients with indicators; compared with a result of hemodynamics in patients with cardiac functional grading and echocardiography LVEF without the comparison at the same time，the results before and after treatment. Results between the index of chronic heart failure II，III，IV grade two two are compared，there is a statistically significant difference (Plt;0.05)，the core function classification index of ACI shown in patients who are not there is a statistically significant difference (Pgt;0.05); before and after the treatment result，index in treatment of stroke volume index and cardiac output patients and the diagnosis of heart failure after cardiac index increased significantly，the load resistance index，peripheral vascular resistance decreased significantly after treatment of judgment after chronic heart failure，there are statistically significant differences before and after treatment (Plt;0.05)，VI，ACI showed no significant change before and after treatment (Pgt;0.05). Conclusion noninvasive is chronic heart failure dynamics index are the most s