摘要
目的评价FloTrac／Vigileo（第三代）对ICU机械通气脓毒症患者心功能监测的有效性。方法选择2013—10～2015—06在哈尔滨医科大学附属第二医院重症医学科三病房接受有创机械通气治疗并需要进行FloTrac／Vigileo监测的脓毒症患者，在应用FloTrac／Vigileo监测每搏输出量（stroke volume，sv）和心输出量（cardiac output，CO）的同时行床旁心脏超声，收集左室射血分数（left ventricular ejection fraction。LVEF），采用Pearson相关分析评价SV和CO与LVEF的相关性。结果本研究共计纳入患者74例，FloTrac／Vigileo监测的SV为26—125mL／beat，平均（72．24±2．63）mL／beat，95％可信区间（CI）为67．00～77．48mL／beat；CO为2．30—13．30L／min，平均（6．36±0．30）L／min，95％CI为5．76～6．97L／min；Philips CX-50便携式彩色超声测定的LVEF为38％-76％，平均（58．95±0．77）％，95％CI为57．42％～60．49％。SV和CO与LVEF的Pearson相关分析结果分别为r=0．454（P〈0．05）和r=0．400（P〈0．05）。结论在ICU有创机械通气的脓毒症患者中，FloTrac／Vigileo监测的SV和CO与床旁心脏超声测定的LVEF具有较好的临床一致性，可较为准确地反映患者的心功能。
Objective To evaluate the effectiveness of FloTrac/Vigileo （third generation） on cardiac function monitoring for ICU mechanical ventilation patients with sepsis. Methods Sepsis patients were chosen in the third ICU ward of Second Affiliated Hospital of Harbin Medical University （EI- CU） receiving invasive mechanical ventilation and FloTrac/Vigileo monitoring simultaneously from October 2013 to June 2015. Stroke volume （SV） and cardiac output （CO） were measured by FloTrac/Vigileo. At the same time, left ventricular ejection fraction （LVEF） was collected by bedside cardiac ultrasound. Correlations between SV, CO and LVEF were evaluated by Persion correlation analysis. Results A total of 74 patients were contained. SV ranged from 26 mL/beat to 125 mL/beat, mean value （72.24±2.63） mL/beat, 95% confidence interval （CI） 67.00 - 77.48 mL/beat and CO ranged from 2.30 L/min to 13.30 L/min, mean value （6.56±0.50） L/rain, 95%CI 5.76 ± 6.97 L/min measured by FloTrac/Vigileo. LVEF ranged from 38% to 76%, mean value （58.95±0.77）%, 95% CI 57.42% - 60.49% determined by Philips CX-50 portable color ultrasound. The results of Pearson correlation analysis between SV, CO and LVEF were r = 0.454 （P 〈 0.05） and r =- 0.400 （P 〈 0.05）, respectively. Conclusion There are good clinical consistencies between SV, CO measured by FloTrac/Vigileo and LVEF determined by bedside cardiac ultrasound in ICU mechanical ventilation patients with sepsis. SV and CO measured by FloTrac/Vigileo can accurately reflect cardiac function.
作者
郜杨
王洪亮
贾柳
刘洋
于凯江
Gao Yang Wang Elong-liang Jia Liu Liu Yang Yu Kai-fiang(Intensive Care Unit, the Second Affiliated Hospital of Harbin Medical University, Harbin 150086, China)
出处
《中国急救医学》
CAS
CSCD
北大核心
2017年第1期33-36,共4页
Chinese Journal of Critical Care Medicine
基金
国家自然科学基金（81571871）
黑龙江省卫生厅科研课题（2011-064）
