【摘要】：目的針對脈搏指示連續(xù)心輸出量測定(PiCCO)監(jiān)測技術在感染性休克患者液體復蘇及血管活性藥物應用中的指導作用進行研究,為患者病情觀察治療方案制定的監(jiān)測方法的選擇提供依據(jù)。方法選擇2012年12月-2015年9月醫(yī)院收治的感染性休克患者120例,隨機分為對照組和觀察組,各60例;對照組患者實施EGDT方案指導液體復蘇,觀察組患者采用PiCCO監(jiān)測技術指導液體復蘇;對兩組患者的復蘇、血管活性藥物的使用、治療效果等進行對比分析;采用SPSS16.5軟件對數(shù)據(jù)進行統(tǒng)計分析。結果觀察組患者的血管活性藥物的應用與對照組比較,差異有統(tǒng)計學意義(P0.05);觀察組患者的APACHEⅡ評分與對照組患者比較,差異有統(tǒng)計學意義(P0.05);觀察組患者的PaO2/FiO2與對照組比較,差異有統(tǒng)計學意義(P0.05);觀察組患者的復蘇成功率為83.33%,對照組的復蘇成功率為66.67%,差異有統(tǒng)計學意義(P0.05);觀察組患者的ICU留置時間、機械通氣時間、達到早期復蘇目標(EGDT)時間、液體復蘇時間與對照組比較,差異有統(tǒng)計學意義(P0.05);觀察組患者肺水腫發(fā)生率和病死率與對照組比較,差異均有統(tǒng)計學意義(P0.05);觀察組患者的乳酸水平、排尿量、ScvO2水平與對照組比較,差異有統(tǒng)計學意義(P0.05)。結論感染性休克患者在PiCCO監(jiān)測技術下,液體復蘇效果較好,對患者的血管活性藥物的使用有積極的指導作用,值得在臨床上進行推廣。
[Abstract]:Objective to study the guiding role of pulse indicator continuous cardiac output (PiCCO) monitoring in fluid resuscitation and vasoactive drug use in septic shock patients. To provide a basis for the selection of monitoring methods for patients' disease observation and treatment. Methods 120 patients with septic shock from December 2012 to September 2015 were randomly divided into two groups: control group (n = 60) and observation group (n = 60). The patients in the control group were treated with EGDT regimen to guide fluid resuscitation, the patients in the observation group were treated with PiCCO monitoring technique, the patients in the two groups were resuscitated, the use of vasoactive drugs and the therapeutic effect were compared and analyzed. The data were analyzed by SPSS16.5 software. Results the use of vasoactive drugs in the observation group was significantly different from that in the control group (P0.05), the APACHE 鈪，

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