CAJ | 학술논문

目的：探讨无创血流动力学监测在尘肺并呼吸衰竭重症患者中的临床应用价值。方法：采用回顾性病例对照研究方法，收集尘肺合并呼吸衰竭的重症患者25例。所有病例在常规心电监护基础上，应用BioZ胸电生物阻抗法，进行无创血流动力学监测，选择有代表性的心率（ HR）、平均动脉压（ MAP）、中心静脉压（ CVP）、心脏搏出量（ SV）、心输出量（ CO）、胸液水平（ TFC）、外周血管阻力（ SVR）、肺血管阻力（ PVR）等进行记录并分析，指导临床治疗。结果：血流动力学监测示，治疗后患者的HR、MAP、CVP、SV、PVR、TFC以及氧合指数较治疗前有改善，差异均具有统计学意义（ P<0.05）；在CO、SVR、ACI方面，治疗前与治疗后相比较，差异无统计学意义（ P>0.05）。结论：无创血流动力学监测技术在尘肺并呼吸衰竭的重症患者治疗时发挥着重要作用，具有很好的临床指导价值，值得临床推广。
목적：탐토무창혈류동역학감측재진폐병호흡쇠갈중증환자중적림상응용개치。방법：채용회고성병례대조연구방법，수집진폐합병호흡쇠갈적중증환자25례。소유병례재상규심전감호기출상，응용BioZ흉전생물조항법，진행무창혈류동역학감측，선택유대표성적심솔（ HR）、평균동맥압（ MAP）、중심정맥압（ CVP）、심장박출량（ SV）、심수출량（ CO）、흉액수평（ TFC）、외주혈관조력（ SVR）、폐혈관조력（ PVR）등진행기록병분석，지도림상치료。결과：혈류동역학감측시，치료후환자적HR、MAP、CVP、SV、PVR、TFC이급양합지수교치료전유개선，차이균구유통계학의의（ P<0.05）；재CO、SVR、ACI방면，치료전여치료후상비교，차이무통계학의의（ P>0.05）。결론：무창혈류동역학감측기술재진폐병호흡쇠갈적중증환자치료시발휘착중요작용，구유흔호적림상지도개치，치득림상추엄。
Objective To evaluate the application value of noninvasive hemodynamic monitoring in pneumoconiosis patient complicating respiratory failure. Method A total of 25 cases of the pneumoconiosis patient complicating respiratory failure admitted to the hospital were retrospectively analyzed. Noninvasive hemodynamic monitoring were appiled to all patients through the application of BioZ thoracic electrical bioimpedance on the basis of conventional ECG monitoring. Levels of heart rate( HR),mean arterial pressure( MAP),central venous pres-sure( CVP),cardiac stroke volume( SV),cardiac output( CO),thoracic fluid level( TFC),external peripheral vascular resistance( SVR), and pulmonary vascular resistance( PVR)were collected and statistically analyzed to guide the clinical treatment. Results The noninvasive hemodynamic monitoring showed that the levels of HR,MAP,CVP,SV,TFC,PVR were significantly change after treatment compared with Pre-treatment(P<0. 05). The levels of CO,SVR,PVR were no significantly change to compare before and after treatment(P>0. 05) . Conclusion Noninvasive hemodynamic monitoring plays an important role in the therapy of the pneumoconiosis patient complicating re-spiratory failure. It has good clinical value and is worth spreading in clinic.