摘要
目的:探讨床旁超声在脓毒症休克患者血流动力学监测中的应用价值,为临床提供更为准确、实时的监测手段,以指导液体管理并改善患者预后。方法:选取2019年1月至2022年10月贵州省贵阳市花溪区人民医院收治的122例重症脓毒症休克患者,利用随机数字表法将其平均分为观察组(n=61)和对照组(n=61)。观察组采用床旁超声进行血流动力学监测,对照组则采用传统监测方法进行血流动力学监测。比较两组患者血流动力学参数、治疗效果及预后。结果:观察组患者各项血流动力学参数水平均优于对照组(P<0.05)。观察组患者病情恶化率低于对照组(P<0.05),治疗有效率高于对照组(P<0.05)。观察组患者住院时间短于对照组(P<0.05),病死率低于对照组(P<0.05)。结论:将床旁超声应用于脓毒症休克患者血流动力学监测中具有显著的应用价值,能够提供更准确、实时的血流动力学信息,指导治疗并改善患者预后。
Objective:To explore the application value of bedside ultrasound in hemodynamic monitoring of patients with septic shock,providing a more accurate and real-time monitoring method for clinical practice to guide fluid management and improve patient prognosis.Methods:A total of 122 patients with severe septic shock admitted to Huaxi District People's Hospital in Guiyang,Guizhou Province,from January 2019 to October 2022 were selected and evenly divided into an observation group(n=61)and a control group(n=61)using a random number table method.The observation group underwent hemodynamic monitoring with bedside ultrasound,while the control group received traditional monitoring methods.Hemodynamic parameters,treatment efficacy,and prognosis were compared between the two groups.Results:The levels of various hemodynamic parameters in the observation group were superior to those in the control group(P<0.05).The deterioration rate in the observation group was lower than that in the control group,and the treatment effectiveness rate was higher(P<0.05).The hospitalization time of the observation group was shorter than that of the control group,and the mortality rate was lower(P<0.05).Conclusion:The application of bedside ultrasound in hemodynamic monitoring of septic shock patients has significant clinical value,providing more accurate and real-time hemodynamic information to guide treatment and improve patient prognosis.
作者
夏芸
XIA Yun(Department of Critical Care Medicine,Huaxi District People's Hospital,Guiyang 550025,China)
出处
《延边大学医学学报》
2025年第7期69-71,共3页
Journal of Medical Science Yanbian University
