混合静脉血氧饱和度监测在心脏术后监护中临床价值分析.docVIP

混合静脉血氧饱和度监测在心脏术后监护中临床价值分析 　　【摘要】 目的：分析混合静脉血氧饱和度监测在心脏术后监护中的临床价值。方法：选取本院收治的行心脏手术的患者40例，术后30 min为A组，术后6～8 h为B组，分别测定动脉血氧饱和度（SaO2）、氧分压（PaO2）和混合静脉血氧饱和度（SvO2）、氧分压（PvO2）并计算出氧利用率（O2ER），比较两组的差异；根据混合静脉血氧饱和度的平均值进行分组，≤65%的为Ⅰ组，65%的为Ⅱ组，比较两组的SvO2值、ICU停留时间及并发症发生率。结果：A、B组的PaO2、O2ER值均高于术前，PvO2、SvO2值均低于术前，比较差异有统计学意义（P0.05）；A组PaO2、SvO2值均高于B组，O2ER值低于B组，两组比较差异有统计学意义（P0.05）。Ⅱ组SvO2，ICU停留时间，低心排、心律失常、低氧血症发生率均优于Ⅰ组，两组比较差异有统计学意义（P0.05）。结论：SvO2在心脏术后监护中极具价值，其水平可影响术后并发症的发生，自身也可作为组织氧平衡的衡量标准。 　　【关键词】 混合静脉血氧饱和度； 监测； 心脏术； 监护； 临床价值 　　【Abstract】 Objective：To analyze the clinical value of mixed venous oxygen saturation monitoring in patients after open heart surgery.Method：40 patients with heart surgery in our hospital were selected.They were divided into two groups，group A was half an hour after the operation and group B was 6 to 8 hours after the surgery.Oxygen saturation （SaO2），partial pressure of oxygen（PaO2），saturation （SvO2） and partial pressure of oxygen （PvO2） of mixed venous blood were measured.The oxygen utilization rate（O2ER） was calculated and the differences were compared between the two groups.Patients were divided into group Ⅰ and group Ⅱ according to their average SvO2.SvO2，staying-time in ICU and complications after surgery were compared between the two groups.Result：In group A and B，the values of PaO2 and O2ER were higher than before operation，the values of PvO2 and SvO2 were lower than before operation，the differences were statistically significant（P0.05）.The values of PaO2 and SvO2 of group A were higher than those of group B，the value of O2ER of group A was significantly lower than that of group B（P0.05）.The value of SvO2，staying-time in ICU and the incidence of low cardiac output，cardiac arrhythmia and hypoxemia of group Ⅱ were significantly better than those of group Ⅰ（P0.05）.Conclusion：SvO2 has great value in the care after open heart surgery，its level can affect the incidence of complications and measure the oxygen balance of tissues. 　　【Key words】 Mixed venous oxygen saturat