摘要
目的探讨无创血流动力学监测对急性心力衰竭(心衰)患者的诊断及预后价值。方法选取45例急性心衰患者作为观察组,选取同时期的45例非急性心衰患者作为对照组。两组均实施无创血流动力学监测,分析血压、呼吸频率、心率、心排血量(CO)、心脏指数(CI)、每搏量(SV)、每搏量指数(SVI)、校正流动时间(FTC)、红细胞计数(RBC)、血红蛋白(HGB)、白细胞计数(WBC)、pH值、中性粒细胞比例(NEUT%)、动脉血二氧化碳分压(PaCO_(2))、动脉血氧分压(PaO_(2))、碳酸氢根(HCO_(3)^(-))、住院时间、治疗后7 d及30 d死亡情况。结果两组收缩压、舒张压、呼吸频率及心率比较,差异无统计学意义(P>0.05)。两组CO、CI、SV、SVI、FTC比较差异无统计学意义(P>0.05)。两组RBC、HGB、WBC、pH值、NEUT%比较,差异无统计学意义(P>0.05)。两组PaCO_(2)、PaO_(2)、HCO_(3)^(-)比较,差异无统计学意义(P>0.05)。观察组住院时间为(11.95±4.37)d,与对照组的(10.38±5.97)d比较,差异无统计学意义(P>0.05)。观察组治疗后7、30 d的死亡率分别为13.33%(6/45)、22.22%(10/45),高于对照组的0、2.22%(1/45),差异有统计学意义(P<0.05)。结论无创血流动力学监测不能很好地诊断急性心衰,但对预后判断有一定价值。
Objective To discuss the diagnostic and prognostic value of non-invasive hemodynamic monitoring in acute heart failure.Methods 45 patients with acute heart failure were selected as the observation group,and concurrent 45 patients without acute heart failure were selected as the control group.Non-invasive hemodynamic monitoring was performed in both groups,and their blood pressure,respiratory rate,heart rate,cardiac output(CO),cardiac index(CI),stroke volume(SV),stroke volume index(SVI),corrected flow time(FTC),red blood cell(RBC)count,hemoglobin(HGB),white blood cell count(WBC),pH value,neutrophil percentage(NEUT%),arterial partial pressure of carbon dioxide(PaCO_(2)),and arterial partial pressure of oxygen(PaO_(2)),hydrogen carbonate(HCO_(3)^(-)),length of hospital stay,death at 7 d and 30 d after treatment.Results There were no statistically significant differences in systolic blood pressure,diastolic blood pressure,respiratory rate and heart rate between the two groups(P>0.05).There were no statistically significant differences in CO,CI,SV,SVI and FTC between the two groups(P>0.05).There was no statistically significant difference in RBC,HGB,WBC,pH value and NEUT% between the two groups(P>0.05).There was no statistically significant difference in PaCO_(2),PaO_(2) and HCO_(3)^(-) between the two groups(P>0.05).The length of hospital stay in the observation group was(11.95±4.37)d,and that of the control group was(10.38±5.97)d,and the difference was not statistically significant(P>0.05).The mortality rates at 7 and 30 d after treatment were 13.33%(6/45)and 22.22%(10/45)in the observation group,which were higher than those of 0 and 2.22%(1/45)in the control group,and the differences were statistically significant(P<0.05).Conclusion Non-invasive hemodynamic monitoring can not be a good diagnosis of acute heart failure,but it is valuable for prognosis.
作者
王嫣
WANG Yan(Second District of Intensive Medicine Department,People's Hospital of Yanzhou District,Jining 272100,China)
出处
《中国实用医药》
2023年第7期70-73,共4页
China Practical Medicine
关键词
无创血流动力学监测
急性心力衰竭
诊断
预后
Non-invasive hemodynamic monitoring
Acute heart failure
Diagnosis
Prognosis
