脓毒性休克机械通气患者进行液体复苏治疗时SVV对容量反应性的预测价值

Abstract
Figure/Table
References (16)
Related Citation (1)

Download: PDF (0 KB) HTML (33 KB)
Export: BibTeX | EndNote (RIS)

Abstract ObjectiveTo explore the predictive value of stroke volume variation (SVV)for volume response of fluid resuscitation in the treatment of mechanically ventilated patients with septic shock.MethodsA total of 58 patients with septic shock mechanical ventilation from December 2014 to December 2015 in our hospital were treated with liquid resuscitation,the patients were divided into the study group(32 cases)and the control group(26 cases)according to the difference of CT before and after resuscitation.The heart function indexes of the two groups were observed and recorded,including stroke volume variation(SVV),central venous pressure(CVP),heart rate(HR),mean arterial pressure(MAP),cardiac output(CO),intrathoracic blood volume index(ITBVI),cardiac index(CI),and the correlation between SVV and CVP,CI difference(ΔCI)was analyzed.ResultsThe levels of SVV,CVP,HR,MAP,CO,ITBVI and CI in the control group before fluid resuscitation was better than that in the study group,with significant difference(P＜0.05).The levels of SVV,CVP,HR,MAP,CO,ITBVI and CI in the two groups after fluid resuscitation were significantly improved,and the levels of SVV,MAP,CO and CI in the study group after fluid resuscitation was significantly better than that in the control group,with significant difference(P＜0.05).The correlation analysis of SVV,CVP and CI of the two groups were analyzed before and after the fluid resuscitation,after fluid resuscitation,SVV and ΔCI(r=0.763,P=0.008),CVP and ΔCI(r=0.386,P=0.038)were positively correlated,and the correlation between SVV and ΔCI was more obvious than that of CVP and ΔCI.ConclusionCompared with other predictive capacity indexes,SVV is more effective and is worthy of clinical promotion.

Key words： Liquid resuscitation Septic shock Stroke volume variation Volume reactivity Mechanical ventilation in patients

	Service

	E-mail this article
	Add to my bookshelf
	Add to citation manager
	E-mail Alert
	RSS
	Articles by authors
	YE Zhao-wei
	CHEN Jie
	SHAO Han-quan

Cite this article:

YE Zhao-wei,CHEN Jie,SHAO Han-quan. Predictive value of SVV for volume response in fluid resuscitation in the treatment of mechanically ventilated patients with septic shock[J]. 中国当代医药, 2017, 24(23): 21-23转33.

URL:

http://dangdaiyiyao.com/EN/ OR http://dangdaiyiyao.com/EN/Y2017/V24/I23/21

[15]	李志金.每搏量变异度监测指导感染性休克术中容量治疗的应用价值[J].中国实用医药，2016，11（27）：73-74.
[16]	龙鼎，喻莉，张远超，等.严重感染机械通气患者容量反应性的动态评估[J].中华急诊医学杂志，2013，22（2）：194-197.
[1]	王剑彬，王华，陈启康，等.中心静脉压、全心舒张末期容积指数和血管外肺水指数在评估脓毒性休克液体复苏中的作用[J].南方医科大学学报，2014，34（9）：1334-1336.
[2]	彭松，张琳，钟明媚，等.每搏量变异度在感染性休克患者容量预测中的价值[J].中华急诊医学杂志，2013，22（11）：1260-1264.
[3]	刘晓，刘志广，范志松，等.严重脓毒症与脓毒性休克患者预后分析[J].山东大学学报（医学版），2016，54（10）：80-84.
[4]	高戈，冯喆，常志刚，等.2012国际严重脓毒症及脓毒性休克诊疗指南[J].中华危重病急救医学，2013，25（8）：501-505.
[5]	邢豫宾，戴路明，赵芝焕，等.血清降钙素原和常用炎症指标结合SOFA评分对脓毒症早期诊断和预后价值的评价[J].中国危重病急救医学，2008，20（1）：23-28.
[6]	方卫刚.APACHEⅡ评分变化率与ICU危重病患者预后相关性研究[J].中国急救医学，2013，33（10）：919-921.
[7]	刘亚林，邹帅，赵中林，等.PiCCO监测技术在感染性休克患者液体复苏及血管活性药物应用中的指导作用[J].中华医院感染学杂志，2016，26（10）：2254-2256.
[8]	李柏林，杨其霖，陈伟燕，等.早期PICCO监测在脓毒症急性肾损伤患者治疗中的作用[J].实用医学杂志，2016，32（9）：1449-1452.
[9]	殷胜禄.SOFA评分联合降钙素原在脓毒症早期诊断及预后应用[J].中华医院感染学杂志，2013，23（11）：2536-2538.
[10]	卢年芳，郑瑞强，林华，等.脉搏灌注变异指数评价感染性休克患者容量状态的前瞻性临床研究[J].中华危重病急救医学，2015，27（1）：17-21.
[11]	周青霞.胱抑素C、尿β2微球蛋白在老年糖尿病患者早期肾损伤临床监测应用[J].中国老年学杂志，2014，34（2）：528-529.
[12]	徐盈，钟玲，陈国兵，等.不同液体选择对脓毒性休克早期复苏及预后的影响[J].重庆医学，2013，42（20）：2352-2355，2358.
[13]	彭良善，赵正亮，王桥生，等.脓毒性休克液体复苏达标后不同液体平衡量与预后的关系[J].中国现代医学杂志，2014，24（35）：106-108.
[14]	武宇辉，何颜霞，杨卫国，等.超声心排出量检测仪预测脓毒性休克患儿容量反应性的价值[J].中华实用儿科临床杂志，2013，28（6）：429-431.