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目的探讨分析PICCO监测技术应用在严重脓毒症治疗上的临床指导作用。方法选取2012年5月~2013年5月本院ICU科收治的脓毒症患者46例,应用PICCO监测技术进行血流动力学监测,记录液体复苏前后的以上指标的变化情况。结果复苏后的GEDVI、ITBVI和SI与液体复苏前的数值相比差异显著(P<0.05);ITBV、GEDVI和SI之间具有显著的相关性(P<0.01)。结论 PICCO监测技术可准确的对患者血流动力学参数进行评估,对严重脓毒症患者的输液治疗具有指导作用。
Objective To analyze and analyze the clinical application of PICCO in the treatment of severe sepsis. Methods From May 2012 to May 2013, 46 patients with sepsis admitted to our ICU department were enrolled in this study. The hemodynamic monitoring was performed with PICCO. The changes of these indexes before and after liquid resuscitation were recorded. Results The recovery of GEDVI, ITBVI and SI were significantly different from those before liquid resuscitation (P <0.05). There was a significant correlation between ITBV, GEDVI and SI (P <0.01). Conclusion The PICCO monitoring technique can accurately evaluate the hemodynamic parameters of patients and guide the infusion therapy in patients with severe sepsis.