CAJ | 학술논문

目的：探讨血流动力学监测技术在脓毒性休克患者中的应用及护理。方法：选取我院2012年3月~2013年3月收治的脓毒性休克患者100例,并随机等分为观察组和对照组。对两组患者均给予常规治疗,其中观察组患者在脉搏指示剂连续性心排血量( PiCCO)监测技术指导下进行休克治疗及护理,而对照组患者在中心静脉压( CVP)监测下指导治疗及护理。观察两组各项指标的变化情况。结果：观察组患者的达标时间早于对照组,且MVP,CVP,ScvO2,PaO2/FiO2等血流动力学指标均明显高于对照组；观察组患者每小时尿量多于对照组,6 h及24 h输液量少于对照组,Lac值较对照组低。观察组患者治愈46例,多于对照组。结论：PiCCO血流动力学监测技术在脓毒性休克患者早期液体复苏治疗中具有十分重要的应用价值,PiCCO监测在休克患者中的应用护理效果佳,能很好的纠正血流动力学的紊乱及氧代谢异常,适合在临床上广泛推广。
목적：탐토혈류동역학감측기술재농독성휴극환자중적응용급호리。방법：선취아원2012년3월~2013년3월수치적농독성휴극환자100례,병수궤등분위관찰조화대조조。대량조환자균급여상규치료,기중관찰조환자재맥박지시제련속성심배혈량( PiCCO)감측기술지도하진행휴극치료급호리,이대조조환자재중심정맥압( CVP)감측하지도치료급호리。관찰량조각항지표적변화정황。결과：관찰조환자적체표시간조우대조조,차MVP,CVP,ScvO2,PaO2/FiO2등혈류동역학지표균명현고우대조조；관찰조환자매소시뇨량다우대조조,6 h급24 h수액량소우대조조,Lac치교대조조저。관찰조환자치유46례,다우대조조。결론：PiCCO혈류동역학감측기술재농독성휴극환자조기액체복소치료중구유십분중요적응용개치,PiCCO감측재휴극환자중적응용호리효과가,능흔호적규정혈류동역학적문란급양대사이상,괄합재림상상엄범추엄。
To explore and analyze the hemodynamic monitoring techniques in patients with septic shock application and nursing. Methods:In our hospital from septic shock patients in March 2012-March 2013 100 patients were treated,and they were randomly divided into observation group and con-trol group. Two groups of patients were given conventional treatment, patients in the observation group pulse indicator continuous cardiac output ( PiCCO) monitoring technology guidance shock treatment and care,while the control group of patients in central venous pressure ( CVP) monitoring under guide treat-ment and care. To observe the efficacy of the two groups and the change of the indicators before and after care. Results:The patient′s compliance time signifi-cantly earlier than the control group,and the MVP,CVP,ScvO2 ,PaO2/FiO2 and other hemodynamic parameters were significantly higher. observed in pa-tients urine,per hour significantly more than the control group,6 h and 24 h infusion less than the control group while. Lac value was also lower than the con-trol group. The cure rate of patients in the observation group was significantly higher than the control group (P<0. 05). Conclusion:PiCCO hemodynamic monitoring techniques in patients with septic shock with early fluid resuscitation in value very important,PiCCO monitoring applications in shock patients in nursing effect of good,can be a good corrective hemodynamic disorders and oxygen metabolism,suitable widely in clinical practice.