CAJ | 학술논문

目的：探讨PiCCO监测用于指导危重患者容量管理的临床意义。方法选择2012年1月~2014年1月我院ICU住院治疗的危重患者40例,其中将应用PiCCO监测的患者22例设立为观察组,接受上腔静脉置管监测的18例患者设立为对照组,比较两组的APACHEⅡ评分、HR、MAP、CVP,GEDVI、EVLWI、机械通气时间、入住ICU时间。结果观察组患者治疗后第3天GEDVI较治疗后第1天、第2天显著升高(P<0.01﹚。观察组患者治疗后第3天EVLWI分别较治疗前、治疗后第1天、第2天明显降低(P<0.05﹚。观察组患者APACHEⅡ评分、HR、MAP、CVP分别与对照组比较,差异有统计学意义(P﹤0.05﹚。观察组患者机械通气时间、入住ICU时间明显短于对照组(P﹤0.05﹚。结论应用PiCCO监测危重患者的各项容量指标来指导容量管理优于CVP监测,有利于评估危重患者的治疗及预后。
목적：탐토PiCCO감측용우지도위중환자용량관리적림상의의。방법선택2012년1월~2014년1월아원ICU주원치료적위중환자40례,기중장응용PiCCO감측적환자22례설립위관찰조,접수상강정맥치관감측적18례환자설립위대조조,비교량조적APACHEⅡ평분、HR、MAP、CVP,GEDVI、EVLWI、궤계통기시간、입주ICU시간。결과관찰조환자치료후제3천GEDVI교치료후제1천、제2천현저승고(P<0.01﹚。관찰조환자치료후제3천EVLWI분별교치료전、치료후제1천、제2천명현강저(P<0.05﹚。관찰조환자APACHEⅡ평분、HR、MAP、CVP분별여대조조비교,차이유통계학의의(P﹤0.05﹚。관찰조환자궤계통기시간、입주ICU시간명현단우대조조(P﹤0.05﹚。결론응용PiCCO감측위중환자적각항용량지표래지도용량관리우우CVP감측,유리우평고위중환자적치료급예후。
Objective To investigate the clinical significance of PiCCO monitoring in critically ill patients' capacity management. Methods Selected 40 cases critically ill patients from January 2012 to January 2014 in our ICU,22 cases were treated with PiCCO monitoring,established the observation group,18 cases were treated with superior vena cava catheterization monitoring,established the control group,the APACHEⅡ score, HR, MAP, CVP,EVLWI GEDVI,me-chanical ventilation time,ICU stay time were compared. Results GEDVI in the observation group at third day after treatment significantly increased than the first day,and the second day(P<0.01﹚. The EVLWI in the observation group at third day after treatment obviously decreased than before treatment, the first day,the second day after treatment re-spectively(P<0.05﹚. The APACHEⅡ score, HR, MAP, CVP in observation group respectively compared with the control group, there was significant difference (P<0.05﹚. The mechanical ventilation time, ICU stay time in the ob-servation group were significantly shorter than that the control group(P<0.05﹚. Conclusion The capacity index applica-tion of PiCCO monitoring in critically ill patients to guide capacity management is superior to CVP monitoring,facili-tates the assessment the treatment and prognosis in critically ill patients.