本文關鍵詞： 補液療法 每博輸出量 被動抬腿試驗 心臟超聲 容量反應性　出處：《重慶醫(yī)學》2016年26期 　論文類型：期刊論文

【摘要】：目的探討被動抬腿試驗(PLR)聯(lián)合超聲檢測心輸出量(CO)方法對老年休克患者容量反應性預測的可行性。方法采取前瞻性觀察研究方法,選擇萬州區(qū)第五人民醫(yī)院ICU 2013年1月至2015年9月老年休克患者38例,先后行PLR及補液療法。按補液療法后超聲檢測CO增加百分比大于或等于10%為對容量治療有反應組,否則為無反應組。結(jié)果 38例患者行45例次補液療法,有反應組13例,無反應組32例。有反應組PLR及補液后CO明顯增加(P0.05),兩組數(shù)值△COPLR為(8.36±4.02)%,ΔCO補液為(8.59±3.53)%;觀察有反應組ΔCOPLR與ΔCO補液兩組變量呈正相關(r=0.815,P=0.01)。ΔCOPLR預測容量反應性的AUC值為0.854。當閾值ΔCOPLR≥15%時,預測容量反應性敏感性87%,特異性91%。結(jié)論 PLR聯(lián)合超聲對CO檢測可有效預測容量反應性,可作為一種無創(chuàng)方法指導老年患者休克治療。
[Abstract]:Objective to investigate the feasibility of passive leg lifting test (PLR) combined with echocardiography in the prediction of volumetric reactivity in elderly patients with shock. 38 elderly patients with shock from January 2013 to September 2015 in 5th people's Hospital of Wanzhou District were treated with PLR and rehydration therapy. The percentage of CO increase detected by ultrasound after fluid resuscitation was greater than or equal to 10% as the group with response to volume therapy. Results Thirty eight patients were treated with 45 times of rehydration therapy, and 13 cases in the response group. In the non-response group, PLR and CO increased significantly (P 0.05), the COPLR values of the two groups were 8.36 鹵4.02 and 8.59 鹵3.53.The positive correlation was observed between 螖 COPLR and 螖 CO rehydration, and the AUC value of 螖 COPLR was 0.854 when the threshold value of 螖 COPLR 鈮，

本文編號：1495863