血流动力学监测技术在脓毒性休克患者中的应用及护理

目的:探讨血流动力学监测技术在脓毒性休克患者中的应用及护理。方法:选取我院2012年3月～2013年3月收治的脓毒性休克患者100例,并随机等分为观察组和对照组。对两组患者均给予常规治疗,其中观察组患者在脉搏指示剂连续性心排血量(PiCCO)监测技术指导下进行休克治疗及护理,而对照组患者在中心静脉压(CVP)监测下指导治疗及护理。观察两组各项指标的变化情况。结果:观察组患者的达标时间早于对照组,且MVP,CVP,ScvO2,PaO2/FiO2等血流动力学指标均明显高于对照组;观察组患者每小时尿量多于对照组,6 h及24 h输液量少于对照组,Lac值较对照组低。观察组患者治愈46例,多于对照组。结论:PiCCO血流动力学监测技术在脓毒性休克患者早期液体复苏治疗中具有十分重要的应用价值,PiCCO监测在休克患者中的应用护理效果佳,能很好的纠正血流动力学的紊乱及氧代谢异常,适合在临床上广泛推广。

Application of hemodynamic monitoring technology in and nursing of patients with septic shock

To explore and analyze the hemodynamic monitoring techniques in patients with septic shock application and nursing. Methods：In our hospital from septic shock patients in March 2012-March 2013 100 patients were treated,and they were randomly divided into observation group and control group. Two groups of patients were given conventional treatment, patients in the observation group pulse indicator continuous cardiac output （ PiCCO） monitoring technology guidance shock treatment and care,while the control group of patients in central venous pressure （ CVP） monitoring under guide treat-ment and care. To observe the efficacy of the two groups and the change of the indicators before and after care. Results：The patient′s compliance time significantly earlier than the control group,and the MVP,CVP,ScvO2 ,PaO2/FiO2 and other hemodynamic parameters were significantly higher. observed in patients urine,per hour significantly more than the control group,6 h and 24 h infusion less than the control group while. Lac value was also lower than the con-trol group. The cure rate of patients in the observation group was significantly higher than the control group （P〈0. 05）. Conclusion：PiCCO hemodynamic monitoring techniques in patients with septic shock with early fluid resuscitation in value very important,PiCCO monitoring applications in shock patients in nursing effect of good,can be a good corrective hemodynamic disorders and oxygen metabolism,suitable widely in clinical practice.