中国医药科学
中國醫藥科學
중국의약과학
CHINA MEDICINE AND PHARMACY
2015年
6期
62-64
,共3页
彭丽珠%李军黎%叶美仪%阮婉芬
彭麗珠%李軍黎%葉美儀%阮婉芬
팽려주%리군려%협미의%원완분
动态监测%早期休克%新生儿%左心排量%USCOM技术
動態鑑測%早期休剋%新生兒%左心排量%USCOM技術
동태감측%조기휴극%신생인%좌심배량%USCOM기술
Dynamic monitoring%Early shock%Newborns%Left cardiac output%USCOM technology
目的：研究动态监测早期休克新生儿左心排量变化的临床意义。方法选取我院2013年1月~2014年8月入院治疗的35例早期休克新生儿为观察组，另选取同期出生的新生儿35例为对照组。临床应用超声心排出量监测仪（USCOM）技术无创监测两组新生儿的左心输出量及每搏输出量。观察组患儿应用扩容及多巴胺治疗。对比两组新生儿的左心排量变化及观察组患儿治疗前后的左心排量变化。结果两组患儿治疗前左心排量为（0.38±0.23）L/min vs（0.48±0.16）L/min，差异有统计学意义（P＜0.05）。观察组患儿治疗后左心排量较治疗前升高，治疗前后分别为（0.38±0.23）L/min vs（0.53±0.27）L/min，差异有统计学意义（P＜0.05）。结论动态监测新生儿左心排量变化，可以早期发现并及时治疗新生儿休克。
目的：研究動態鑑測早期休剋新生兒左心排量變化的臨床意義。方法選取我院2013年1月~2014年8月入院治療的35例早期休剋新生兒為觀察組，另選取同期齣生的新生兒35例為對照組。臨床應用超聲心排齣量鑑測儀（USCOM）技術無創鑑測兩組新生兒的左心輸齣量及每搏輸齣量。觀察組患兒應用擴容及多巴胺治療。對比兩組新生兒的左心排量變化及觀察組患兒治療前後的左心排量變化。結果兩組患兒治療前左心排量為（0.38±0.23）L/min vs（0.48±0.16）L/min，差異有統計學意義（P＜0.05）。觀察組患兒治療後左心排量較治療前升高，治療前後分彆為（0.38±0.23）L/min vs（0.53±0.27）L/min，差異有統計學意義（P＜0.05）。結論動態鑑測新生兒左心排量變化，可以早期髮現併及時治療新生兒休剋。
목적：연구동태감측조기휴극신생인좌심배량변화적림상의의。방법선취아원2013년1월~2014년8월입원치료적35례조기휴극신생인위관찰조，령선취동기출생적신생인35례위대조조。림상응용초성심배출량감측의（USCOM）기술무창감측량조신생인적좌심수출량급매박수출량。관찰조환인응용확용급다파알치료。대비량조신생인적좌심배량변화급관찰조환인치료전후적좌심배량변화。결과량조환인치료전좌심배량위（0.38±0.23）L/min vs（0.48±0.16）L/min，차이유통계학의의（P＜0.05）。관찰조환인치료후좌심배량교치료전승고，치료전후분별위（0.38±0.23）L/min vs（0.53±0.27）L/min，차이유통계학의의（P＜0.05）。결론동태감측신생인좌심배량변화，가이조기발현병급시치료신생인휴극。
Objective To analyze and investigate the clinical significance of dynamic monitoring of cardiac output changes of newborn with early neonatal shock. Methods 35 newborns with early neonatal shock admitted in our hospital from January 2013 to August 2014 were selected as an observation group, another 35 cases of newborns born in the same period were selected as a control group. The left cardiac output and stroke volume of newborns between the two groups were technologically noninvasive monitored using ultrasonic cardiac output monitor (USCOM) by clinic. The observation group received treatment of expansion and dopamine. Changes in left ventricular displacement between before and after treatment of the observation group and left cardiac output changes between the two groups were compared. Results The left cardiac output before treatment between the two groups were (0.38±0.23)L / min and (0.48±0.16) L/min, with a statistically significant difference(P < 0.05). The left cardiac output of the observation group after treatment was higher than that before treatment, that after treatment respectively were (0.38±0.23) L/min and (0.53±0.27)L/min, with a statistically significant difference(P < 0.05). Conclusion Neonatal dynamic monitoring changes in left ventricular displacement, is early detection and timely treatment of neonatal shock.
