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目的探讨脉波轮廓温度稀释连续心排量测量技术(PICCO)与经动脉波形分析技术(爱德华唯捷流)在连续性肾脏替代治疗(CRRT)容量管理中的应用价值及护理措施。方法 60例行急性肾损伤患者随机抽取30名使用PICCO进行监测指导,另30名使用唯捷流监测。从CI、SVR、SVV等几方面比较在容量管理中两者的相关性。结果:两者从CI、SVR、SVV三个数据分析,具有一定相关性。结论 PICCO和唯捷流在急性肾损伤患者的容量监测管理中均具有指导意义,两者无明显差异(P>0.05),但是由于有较多的PICCO技术测量参数,所以可以实现对心脏舒缩功能以及血流动力学参数的较全面反映。而唯捷流动微创伤,不用注射冰水从而保持管路的密闭性,减少感染是它的一大特色。
Objective To explore the value and nursing measures of PICCO and arterial waveform analysis (Edwin Flow) in the capacity management of continuous renal replacement therapy (CRRT). Methods Sixty patients with acute renal injury were randomly selected from 30 patients with PICCO for monitoring and guidance, and the other 30 patients were monitored by only flow. From the CI, SVR, SVV and other aspects of capacity management in the comparison between the two. Results: The two from the CI, SVR, SVV three data analysis, with some relevance. Conclusions Both PICCO and VIV are instructive in the capacity management of patients with acute kidney injury (P> 0.05), but due to the more PICCO measurement parameters, Function and hemodynamic parameters of a more comprehensive reflection. The only McNair mobile trauma, do not inject ice water in order to maintain airtight pipeline, reduce infection is its a major feature.