超声测量下腔静脉变异度在颅脑术后合并急性呼吸窘迫综合征患者液体管理中临床应用分析.docVIP

超声测量下腔静脉变异度在颅脑术后合并急性呼吸窘迫综合征患者液体管理中临床应用分析 　　【摘要】 目的：探?超声测量下腔静脉变异度在颅脑术后合并急性呼吸窘迫综合征患者液体管理中的临床应用价值。方法：选取2016年4月-2017年3月在ICU住院的颅脑术后合并急性呼吸窘迫综合征的患者60例，将其随机分为观察组和对照组，各30例。观察组通过超声测量下腔静脉变异度指导液体管理，对照组通过监测中心静脉压指导液体管理。结果：观察组机械通气时间、住ICU时间及血管活性药物应用时间均明显短于对照组（P0.05）；两组治疗第7天的各项指标与治疗前比较，差异均有统计学意义（P0.05）。结论：超声测量下腔静脉变异度指导颅脑术后合并急性呼吸窘迫综合征患者液体管理可较准确判断患者的容量状态，明显改善患者的血流动力学指标，具有较高的临床应用价值。 　　【关键词】 超声测量下腔静脉变异度； 颅脑术后合并急性呼吸窘迫综合征； 液体治疗 　　【Abstract】 Objective：To evaluate the clinical value of ultrasonography measurement of inferior vena cava variability in fluid management of patients with acute respiratory distress syndrome after craniocerebral operation.Method：60 patients with acute respiratory distress syndrome after craniocerebral operation who were hospitalized in ICU from April 2016 to March 2017 were selected，they were randomly divided into the observation group and the control group，30 cases in each group.The observation group guided the fluid management by ultrasonography to measure the variability of the inferior vena cava.The control group guided the management of the fluid by monitoring the central venous pressure.Result：The time of mechanical ventilation，ICU time and vasoactive drug application time of the observation group were significantly shorter than those of the control group（P0.05）.The indexes of treatment for 7 days were compared with those before treatment between two groups，the differences were statistically significant （P0.05）.Conclusion：Ultrasound measurement of inferior vena cava variability to guide postoperative craniotomy with acute respiratory distress syndrome in patients with liquid management can accurately determine the patients capacity status，significantly improve the patient’s hemodynamic parameters，has a high clinical value. 　　【Key words】 Ultrasound measurement of inferior vena cava variability； Craniocerebral surgery combined with acute respiratory distress syndrome； Liquid therapy 　　First-author’s address：Guangdong Provincial Nongken Center Hospital，Zh