河北医学
河北醫學
하북의학
HEBEI MEDICINE
2015年
3期
392-395
,共4页
毛德莲%唐梅宗%吴国友%谭凤
毛德蓮%唐梅宗%吳國友%譚鳳
모덕련%당매종%오국우%담봉
外周静脉压%中心静脉压%监测方法
外週靜脈壓%中心靜脈壓%鑑測方法
외주정맥압%중심정맥압%감측방법
Peripheral venous pressure%Central venous pressure%Monitor method
目的:探讨肿瘤患者外围静脉压( PVP )与中心静脉压( CVP )的相关性。方法:选择200例不同状态下(围手术期、化疗期)的肿瘤患者,每人同时测量CVP 和PVP2~3次,共500例次以上,对CVP 和PVP 变量间行线性相关分析和回归分析。结果:598例次的PVP 与CVP 变量间行直线相关分析呈显著正相关(r=0.866,p<0.05),其中化疗期的CVP 与PVP的相关系数为0.887,围手术期的CVP 与PVP 的相关系数为0.770,各组均有统计学意义(p<0.05),598例次的CVP 与PVP 存在回归关系,b=0.515,p<0.05,回归方程为CVP=0.515PVP+1.157。结论:PVP 监测可反映全身血容量和心功能变化,创伤小、简便易行,在肿瘤患者乃至条件艰苦的基层医院急、危、重症患者监测中,可作为CVP监测的有效替代。
目的:探討腫瘤患者外圍靜脈壓( PVP )與中心靜脈壓( CVP )的相關性。方法:選擇200例不同狀態下(圍手術期、化療期)的腫瘤患者,每人同時測量CVP 和PVP2~3次,共500例次以上,對CVP 和PVP 變量間行線性相關分析和迴歸分析。結果:598例次的PVP 與CVP 變量間行直線相關分析呈顯著正相關(r=0.866,p<0.05),其中化療期的CVP 與PVP的相關繫數為0.887,圍手術期的CVP 與PVP 的相關繫數為0.770,各組均有統計學意義(p<0.05),598例次的CVP 與PVP 存在迴歸關繫,b=0.515,p<0.05,迴歸方程為CVP=0.515PVP+1.157。結論:PVP 鑑測可反映全身血容量和心功能變化,創傷小、簡便易行,在腫瘤患者迺至條件艱苦的基層醫院急、危、重癥患者鑑測中,可作為CVP鑑測的有效替代。
목적:탐토종류환자외위정맥압( PVP )여중심정맥압( CVP )적상관성。방법:선택200례불동상태하(위수술기、화료기)적종류환자,매인동시측량CVP 화PVP2~3차,공500례차이상,대CVP 화PVP 변량간행선성상관분석화회귀분석。결과:598례차적PVP 여CVP 변량간행직선상관분석정현저정상관(r=0.866,p<0.05),기중화료기적CVP 여PVP적상관계수위0.887,위수술기적CVP 여PVP 적상관계수위0.770,각조균유통계학의의(p<0.05),598례차적CVP 여PVP 존재회귀관계,b=0.515,p<0.05,회귀방정위CVP=0.515PVP+1.157。결론:PVP 감측가반영전신혈용량화심공능변화,창상소、간편역행,재종류환자내지조건간고적기층의원급、위、중증환자감측중,가작위CVP감측적유효체대。
Objective:To study the correlation between peripheral venous pressure ( PVP ) and central venous pressure ( CVP ) .Method:Choosing 200 tumors patients in different condition such as perioperative period and chemotherapy and measuring both their CVP and PVP 2~3 times,more than 500 times in total. Did the linear correlation analysis and regression analysis on the result of it .Result:Measured 598 times of CVP and PVP .There's significant positive correlation between CVP and PVP ( r=0.866 P<0.05) , every re-sult is meaningful in statistics ( p<0.05) , no mater in chemotherapy ( r=0.887) or in perioperative period ( r=0.770).And the regression equation of CVP and PVP was CVP =0.515PVP+1.157 (b=0.515, p<0.05). Conclusion:Monitoring Peripheral venous pressure (PVP)can reflect the changes of whole body blood vol-ume and cardiac function , It is easy and save .So it can be applying widely in tumors patients even in urgent cases in the primary hospital ,instead of monitoring central venous pressure effectively .