中国医学创新
中國醫學創新
중국의학창신
MEDICAL INNOVATION OF CHINA
2015年
15期
55-57
,共3页
每搏量变异%分布性休克%容量治疗%抢救
每搏量變異%分佈性休剋%容量治療%搶救
매박량변이%분포성휴극%용량치료%창구
Stroke volume variation%Distributive shock%Volume therapy%Rescue
目的：探讨每搏量变异指导分布性休克容量治疗对患者抢救成功率的影响。方法：随机选择2012年3月-2014年9月本院神经外科重症监护室收治的分布性休克患者38例进行研究，分为对照组19例（中心静脉压组）和观察组19例（每搏量变异组），比较两组患者的抢救成功率。结果：观察组的术中晶体液快速输注量、晶体液维持量、胶体液快速输注量、晶体液输注总量、胶体液输注总量以及总输液量均小于对照组，且抢救成功率显著高于对照组，差异均有统计学意义（P<0.05）。与治疗前比较，两组患者的HR、CVP、MAP等各项指标均得到不同程度的改善，差异均有统计学意义（P<0.05），且观察组的各项指标较对照组改善更明显，差异均有统计学意义（P<0.05）。结论：每搏量变异指导下的分布性休克容量治疗可以有效地提高抢救成功率。
目的：探討每搏量變異指導分佈性休剋容量治療對患者搶救成功率的影響。方法：隨機選擇2012年3月-2014年9月本院神經外科重癥鑑護室收治的分佈性休剋患者38例進行研究，分為對照組19例（中心靜脈壓組）和觀察組19例（每搏量變異組），比較兩組患者的搶救成功率。結果：觀察組的術中晶體液快速輸註量、晶體液維持量、膠體液快速輸註量、晶體液輸註總量、膠體液輸註總量以及總輸液量均小于對照組，且搶救成功率顯著高于對照組，差異均有統計學意義（P<0.05）。與治療前比較，兩組患者的HR、CVP、MAP等各項指標均得到不同程度的改善，差異均有統計學意義（P<0.05），且觀察組的各項指標較對照組改善更明顯，差異均有統計學意義（P<0.05）。結論：每搏量變異指導下的分佈性休剋容量治療可以有效地提高搶救成功率。
목적：탐토매박량변이지도분포성휴극용량치료대환자창구성공솔적영향。방법：수궤선택2012년3월-2014년9월본원신경외과중증감호실수치적분포성휴극환자38례진행연구，분위대조조19례（중심정맥압조）화관찰조19례（매박량변이조），비교량조환자적창구성공솔。결과：관찰조적술중정체액쾌속수주량、정체액유지량、효체액쾌속수주량、정체액수주총량、효체액수주총량이급총수액량균소우대조조，차창구성공솔현저고우대조조，차이균유통계학의의（P<0.05）。여치료전비교，량조환자적HR、CVP、MAP등각항지표균득도불동정도적개선，차이균유통계학의의（P<0.05），차관찰조적각항지표교대조조개선경명현，차이균유통계학의의（P<0.05）。결론：매박량변이지도하적분포성휴극용량치료가이유효지제고창구성공솔。
Objective:To explore the influence of stroke volume variation guide distributive shock capacity on the success rate of patients in emergency treatment.Method:38 patients with distributive shock in ICU of department of neurosurgery of our hospital from March 2012 to September 2014 were selected ,and were divided into control group (19 cases, central venous pressure group) and observation group( 19 cases, stroke volume variation group), the rescue success rate of the two groups were compared.Result:The observation group was quickly lost crystal liquid fluence, crystal liquid to maintain the amount of colloid fast infusion quantity and crystalloid infusion amount, colloid infusion amount and the total volume of transfusion were significantly lower than that of control group, and the rescue success rate was significantly higher than the control group, the differences were statistically significant(P<0.05).Compared with before treatment, two groups of patients with HR, CVP, MAP indicators were improved in different degree, the differences were statistically significant (P<0.05).But the indicators in the observation group than in the control group improved more obviously, the differences were statistically significant (P<0.05).Conclusion:Stroke distributive shock capacity variation under the guidance of the treatment can effectively improve the success rate of rescue.
