PICCO监测在肺心病并心力衰竭治疗中应用.docVIP

PICCO监测在肺心病并心力衰竭治疗中应用 　　[摘要] 目的 探讨通过脉搏指数连续心输出量（PICCO）监测在肺心病并心力衰竭治疗中的应用效果。 方法 分析苏州大学附属第二医院2013年6月～2014年12月收治的肺心病并心力衰竭患者60例的临床资料，依据患者心功能监测方式不同进行分组，对照组30例和观察组30例。对照组给予常规监测，观察组给予PICCO监测。比较观察组治疗前后全心舒张末期容积（GEDVI）、心脏指数（CI）、外周血管阻力（SVRI）；比较两组呼吸频率、心率、血气分析结果、肺功能情况及临床疗效情况。 结果 观察组治疗后GEDVI、CI、SVRI均优于治疗前（t=8.88、4.82、29.63，P 0.05）；观察组治疗后呼吸频率、心率、血气分析、FEV1、FEV1/FVC、FEV1%均优于常规治疗组（t=11.99、3.87、4.46、5.59、8.96、10.64、10.73，P 0.05）；观察组患者临床治疗总有效率优于对照组，差异有统计学意义（χ2=22.22，P 0.05）。 结论 PICCO监测在肺心病并心力衰竭治疗中应用后，可以改善患者临床症状和预后水平，值得临床推广应用。 　　[关键词] PICCO监测；肺心病并心力衰竭；血气分析；肺功能 　　[中图分类号] R541.5 [文献标识码] A [文章编号] 1673-7210（2015）06（b）-0092-04 　　The application of treatment pulmonary heart disease combined with heart failure by PICCO monitoring 　　ZHU Yanyan LU Juan 　　ICU Room， the Second Affiliated Hospital of Soochow University， Jiangsu Province， Suzhou 215004， China 　　[Abstract] Objective To discuss the application of treatment pulmonary heart disease combined with heart failure by PICCO monitoring. Methods Clinical data of 60 cases with pulmonary heart disease combined with heart failure in the Second Affiliated Hospital of Soochow University from June 2013 to December 2014 were selected. According to different cardiac monitoring methods， patients were divided into the control group and the observation group， each group had 30 cases. Patients in the control group were given routine monitoring， while patients in the observation group were given PICCO monitoring. The GEDVI， CI， SVRI before and after treatment in the observation group were observed. The respiratory rate， heart rate， blood gas analysis results， lung function and clinical effect between the two groups were compared. Results After treatment GEDVI， CI， SVRI were better than before treatment in the observation group （t=8.88， 4.82， 29.63， P 0.05）. After treatment， in the observation group， respiratory rate， heart rate， blood gas analysis， FEV1， FEV1/FVC， FEV1% were better than those of control group， the differences were statistically si