FloTrac/Vigileo心排量监测仪在心功能不全患者中的应用

目的通过应用FloTrac/Vigileo心排量监测仪与肺动脉漂浮导管监测心功能不全患者的血流动力学参数的比较,探讨FloTrac/Vigileo心排量监测仪的准确性。方法选择2008年10月～2011年8月入住的心功能不全(心功能IV级)患者32例,同时应用FloTrac/Vigileo心排量监测仪与肺动脉漂浮导管监测患者的血流动力学参数,将两种方法所得结果进行相关性分析。结果 FloTrac/Vigileo心排量监测仪所获得的心输出量和心脏指数与肺动脉漂浮导管所获得的结果具有很好的相关性(r值分比为0.74,0.69,P<0.01)。结论 FloTrac/Vigileo心排量监测仪与肺动脉漂浮导管技术监测的血流动力学参数具有良好的相关性,并且具有简单、微创的优点,可用于临床上动态观察心功能不全患者血流动力学参数的变化。

Clinical study of using FloTrac/Vigileo monitor in patients with cardiac dys-function

Objective To evaluate the accuracy and precision of FloTrac/Vigileo device, the hemodynamic parameters were compared between FloTrac/Vigileo monitor and pulmonary artery catheter in patients with cardiac dysfunction. Methods 32 patients with cardiac dysfunction（NYHA class 1V ） were studied from October 2008 to August 2011, all patients were examined by FloTrac/Vigileo monitor and pulmonary artery catheter. The hemodynamic parameters were obtained by Flo- Trac/Vigileo monitor and pulmonary artery catheter, pearson＇s relevance analysis was used to investigate the relationship of parameters between FloTrac/Vigileo monitor and pulmonary artery catheter. Results A significant high correlation between FloTrac/Vigileo monitor and pulmonary artery catheter was found in CO, CI, the correlation coefficients were 0.74 and 0.69 respctively （P 〈 0.01）. Conclusion The FloTrac/Vigileo cardiac output monitor has the advantages of simple,minimally inva- sive, There was a good correlation between FloTrac/Vigileo monitor and pulmonary artery catheter. The FloTrac/Vigileo monitor can evaluate the changes of of hemodynamics in patients with cardiac dysfunction.