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目的:比较脉搏指示持续心排血量(PiCCO)监测技术联合血气参数与单用血气参数在感染性休克治疗中的指导作用。方法:回顾分析2014年1月~2016年1月ICU收治的感染性休克患者86例,分为联合组(42)和血气组(44),从多个角度进行对比分析。结果:两组患者治疗前APACHEⅡ评分,平均年龄、MAP、血Lac水平、PCT水平差异无统计学意义(P>0.05)进行评估。结论:PiCCO联合血气比单用血气在感染性休克早期复苏治疗中更有指导价值,虽然并未明显降低病死率,但能达到早期液体复苏组织灌注目标,同时可避免盲目补液,尽早脱机,缩短了ICU入住时间。
Objective: To compare the guiding role of pulse-guided continuous cardiac output (PiCCO) monitoring technique in combination with blood gas parameters and blood gas parameters alone in the treatment of septic shock. Methods: A total of 86 patients with septic shock admitted to the ICU from January 2014 to January 2016 were retrospectively analyzed. They were divided into the combined group (42) and the blood gas group (44), and were analyzed from multiple perspectives. Results: There was no significant difference in APACHEⅡscore, mean age, MAP, blood Lac level and PCT level between the two groups before treatment (P> 0.05). Conclusion: PiCCO combined with blood gas is more instructive in the early resuscitation treatment of septic shock than blood gas alone. Although not significantly reducing the mortality, PiCCO can achieve the goal of early liquid resuscitation tissue reperfusion, avoid blind rehydration, Shortened ICU check-in time.