脉搏指数连续心输出量(PiCCO)监测在感染性休克患者早期液体复苏中的应用及护理

Shunling Li, S. Liang, Weihua Xue
{"title":"脉搏指数连续心输出量(PiCCO)监测在感染性休克患者早期液体复苏中的应用及护理","authors":"Shunling Li, S. Liang, Weihua Xue","doi":"10.4236/ijcm.2020.118041","DOIUrl":null,"url":null,"abstract":"Background: Septic shock is a rapidly changing and fatal syndrome \nthat can cause comprehensive deterioration of \ncardiopulmonary and renal function and multiple organ failure. At the same time, \nseptic shock has the complex clinical manifestations and hemodynamics. PiCCO can \naccurately monitor blood flow, physical and volume indicators, and active \nand effective fluid resuscitation are important measures to reduce the fatality \nrate of septic shock and improve the prognosis of patients. Objectives: To \nexplore the application and nursing of PiCCO \nin early fluid resuscitation in patients with septic shock. Methods: This was a retrospective observational study. The observation group and the \ncontrol group each had 30 cases. The observation group used PiCCO to guide fluid \nresuscitation; the control group used conventional methods to guide fluid resuscitation. The changes in CVP, HR, MAP, \nand urine volume per hour were observed in the two groups. The changes of various \nindicators before and after fluid resuscitation, the length of stay in ICU and the \nmortality rate were compared between the two groups. All the outcomes were collected \nfrom the electronic medical case system after patients’ discharge from the hospital. Results: APACHE II, CVP, HR, MAP were compared between \nthe observation group and the control group, and the differences were \nstatistically significant (P 0.05). The blood volume of patients in the observation group was significantly improved after fluid supplementation (P 0.05). Compared with the control \ngroup, the length of stay in ICU in the observation group was significantly shorter, \nand the mortality rate was also significantly reduced (P 0.05). Conclusion: PiCCO can be better used in early fluid resuscitation \nof patients with septic shock.","PeriodicalId":14201,"journal":{"name":"International Journal of Physical Medicine and Rehabilitation","volume":null,"pages":null},"PeriodicalIF":0.0000,"publicationDate":"2020-08-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Application and Nursing of Pulse Index Continuous Cardiac Output (PiCCO) Volume Monitoring in Early Fluid Resuscitation in Patients with Septic Shock\",\"authors\":\"Shunling Li, S. Liang, Weihua Xue\",\"doi\":\"10.4236/ijcm.2020.118041\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"Background: Septic shock is a rapidly changing and fatal syndrome \\nthat can cause comprehensive deterioration of \\ncardiopulmonary and renal function and multiple organ failure. At the same time, \\nseptic shock has the complex clinical manifestations and hemodynamics. PiCCO can \\naccurately monitor blood flow, physical and volume indicators, and active \\nand effective fluid resuscitation are important measures to reduce the fatality \\nrate of septic shock and improve the prognosis of patients. Objectives: To \\nexplore the application and nursing of PiCCO \\nin early fluid resuscitation in patients with septic shock. Methods: This was a retrospective observational study. The observation group and the \\ncontrol group each had 30 cases. The observation group used PiCCO to guide fluid \\nresuscitation; the control group used conventional methods to guide fluid resuscitation. The changes in CVP, HR, MAP, \\nand urine volume per hour were observed in the two groups. The changes of various \\nindicators before and after fluid resuscitation, the length of stay in ICU and the \\nmortality rate were compared between the two groups. All the outcomes were collected \\nfrom the electronic medical case system after patients’ discharge from the hospital. Results: APACHE II, CVP, HR, MAP were compared between \\nthe observation group and the control group, and the differences were \\nstatistically significant (P 0.05). The blood volume of patients in the observation group was significantly improved after fluid supplementation (P 0.05). Compared with the control \\ngroup, the length of stay in ICU in the observation group was significantly shorter, \\nand the mortality rate was also significantly reduced (P 0.05). Conclusion: PiCCO can be better used in early fluid resuscitation \\nof patients with septic shock.\",\"PeriodicalId\":14201,\"journal\":{\"name\":\"International Journal of Physical Medicine and Rehabilitation\",\"volume\":null,\"pages\":null},\"PeriodicalIF\":0.0000,\"publicationDate\":\"2020-08-06\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"International Journal of Physical Medicine and Rehabilitation\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.4236/ijcm.2020.118041\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"\",\"JCRName\":\"\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"International Journal of Physical Medicine and Rehabilitation","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.4236/ijcm.2020.118041","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}
引用次数: 0

摘要

背景:感染性休克是一种瞬息万变的致死性综合征,可引起心肺、肾功能全面恶化和多器官功能衰竭。同时,感染性休克具有复杂的临床表现和血流动力学。PiCCO能准确监测血流、生理及容积指标,积极有效的液体复苏是降低脓毒性休克病死率、改善患者预后的重要措施。目的:探讨PiCCO在感染性休克患者早期液体复苏中的应用及护理。方法:回顾性观察性研究。观察组和对照组各30例。观察组采用PiCCO指导液体复苏;对照组采用常规方法指导液体复苏。观察两组患者CVP、HR、MAP、每小时尿量的变化。比较两组患者液体复苏前后各项指标变化、ICU住院时间及死亡率。所有结果均收集自患者出院后的电子病例系统。结果:观察组与对照组APACHEⅱ、CVP、HR、MAP比较,差异均有统计学意义(P < 0.05)。观察组患者补液后血容量明显改善(P < 0.05)。与对照组比较,观察组患者在ICU的住院时间明显缩短,病死率也明显降低(P < 0.05)。结论:PiCCO可较好地用于感染性休克患者的早期液体复苏。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
查看原文
分享 分享
微信好友 朋友圈 QQ好友 复制链接
本刊更多论文
Application and Nursing of Pulse Index Continuous Cardiac Output (PiCCO) Volume Monitoring in Early Fluid Resuscitation in Patients with Septic Shock
Background: Septic shock is a rapidly changing and fatal syndrome that can cause comprehensive deterioration of cardiopulmonary and renal function and multiple organ failure. At the same time, septic shock has the complex clinical manifestations and hemodynamics. PiCCO can accurately monitor blood flow, physical and volume indicators, and active and effective fluid resuscitation are important measures to reduce the fatality rate of septic shock and improve the prognosis of patients. Objectives: To explore the application and nursing of PiCCO in early fluid resuscitation in patients with septic shock. Methods: This was a retrospective observational study. The observation group and the control group each had 30 cases. The observation group used PiCCO to guide fluid resuscitation; the control group used conventional methods to guide fluid resuscitation. The changes in CVP, HR, MAP, and urine volume per hour were observed in the two groups. The changes of various indicators before and after fluid resuscitation, the length of stay in ICU and the mortality rate were compared between the two groups. All the outcomes were collected from the electronic medical case system after patients’ discharge from the hospital. Results: APACHE II, CVP, HR, MAP were compared between the observation group and the control group, and the differences were statistically significant (P 0.05). The blood volume of patients in the observation group was significantly improved after fluid supplementation (P 0.05). Compared with the control group, the length of stay in ICU in the observation group was significantly shorter, and the mortality rate was also significantly reduced (P 0.05). Conclusion: PiCCO can be better used in early fluid resuscitation of patients with septic shock.
求助全文
通过发布文献求助,成功后即可免费获取论文全文。 去求助
来源期刊
自引率
0.00%
发文量
0
期刊最新文献
Autoimmune Hepatitis Prevalence among Patients from Saudi Arabia with Chronic Liver Disease Referred for Transient Elastography Effect of Knee Valgus Angle during Single Leg Squat and Horizontal Hop for Distance in Patients with Patellofemoral Pain and Controls Clinical Application of Quantitative Nursing for Lower Cranial Nerves Injury after Cerebellopontine Angle Tumors Effect of Bundle Care on Deep Venous Thrombosis in Patients Received Renal Biopsy Racial Differences Effects on Oral Health and Periodontal Diseases Extent, Staging and Grading among the Multi-Ethnic Expatriates in Aseer Region, Saudi Arabia
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
现在去查看 取消
×
提示
确定
0
微信
客服QQ
Book学术公众号 扫码关注我们
反馈
×
意见反馈
请填写您的意见或建议
请填写您的手机或邮箱
已复制链接
已复制链接
快去分享给好友吧!
我知道了
×
扫码分享
扫码分享
Book学术官方微信
Book学术文献互助
Book学术文献互助群
群 号:481959085
Book学术
文献互助 智能选刊 最新文献 互助须知 联系我们:info@booksci.cn
Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。
Copyright © 2023 Book学术 All rights reserved.
ghs 京公网安备 11010802042870号 京ICP备2023020795号-1