CAJ | 학술논문

目的探讨急性心力衰竭患者护理中应用脉搏指数连续心输出量监测(PiCCO)的效果.方法选取平顶山市第二人民医院收治的43例急性心力衰竭患者作为研究对象,收集患者的临床资料并对其做回顾性分析,对患者实施脉搏指数连续心输出量监测和护理,对患者的护理效果进行观察,并对其干预前后的胸腔内血容量、心排血量与氧耗量进行对比观察.结果实施PiCCO和护理干预,本研究43例患者均无严重并发症产生,42例好转出院,1例由于病情危重、高龄及心功能持续无改善自动出院.患者干预后的氧耗量、心排血量与胸腔内血容量均有所改善,干预后各项指标与干预前比较差异有统计学意义(P＜0.05).结论应用脉搏指数连续心输出量可有效改善患者心排血量等临床指标,经实施相应的护理可有效改善患者症状并减少并发症.
목적 탐토급성심력쇠갈환자호리중응용맥박지수련속심수출량감측(PiCCO)적효과.방법 선취평정산시제이인민의원수치적43례급성심력쇠갈환자작위연구대상,수집환자적림상자료병대기주회고성분석,대환자실시맥박지수련속심수출량감측화호리,대환자적호리효과진행관찰,병대기간예전후적흉강내혈용량、심배혈량여양모량진행대비관찰.결과 실시PiCCO화호리간예,본연구43례환자균무엄중병발증산생,42례호전출원,1례유우병정위중、고령급심공능지속무개선자동출원.환자간예후적양모량、심배혈량여흉강내혈용량균유소개선,간예후각항지표여간예전비교차이유통계학의의(P＜0.05).결론 응용맥박지수련속심수출량가유효개선환자심배혈량등림상지표,경실시상응적호리가유효개선환자증상병감소병발증.
Objective To ihvestigate the effect of pulse index continuous cardiac output (PiCCO) monitoring to nursing care of acute heart failure care.Methods The clinical data of 43 acute heart failure patients were retrospectively analyzed,patients were given pulse index continuous cardiac output monitoring and care,the patient' s nursing outcomes were observed,and the intrathoracic blood volume,cardiac output and oxygen consumption before and after the intervention were compared.Results After the implementation of PiCCO and nursing intervention,43 patients had no serious complications,improved 42 cases discharged,the other 1 patient in critical condition due to old age and heart function improvement sustained no automatic discharge.Oxygen consumption,cardiac output and intrathoracic blood volume were improved after the intervention,there was a significant difference (P ＜ 0.05) compared to the previous indicators and intervention after intervention.Conclusions Application of pulse index continuous cardiac output can effectively improve patient's clinical parameters such as cardiac output,through the implementation of appropriate care can improve symptoms and reduce complications.