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1、每搏量变异指导分布性休克容量治疗对患者抢救成功率的影响【摘要】日的：探讨每搏量变异指导分布性休克容量治疗对患者抢救成功率的影响。方法：随机选择2012年3月-2014年9月本院神经外科重症监护室收治的分布性休克患者38例进行研究，分为对照组19例（中心静脉压组）和观察组19例（每搏量变异组），比较两组患者的抢救成功率。结果：观察组的术屮品体液快速输注量、品体液维持量、胶体液快速输注量、晶体液输注总量、胶体液输注总量以及总输液量均小于对照组，且抢救成功率显著高于对照组，差异均有统计学意义（P〈0.05）。与治疗前比较，两组患者的IIR、CVP、M
2、AP等各项指标均得到不同程度的改善，差异均有统计学意义（P〈0・05）,且观察组的各项指标较对照组改善更明显，差异均冇统计学意义（P〈0・05）。结论：每搏量变异指导下的分布性休克容量治疗可以有效地提高抢救成功率。【关键词】每搏量变异；分布性休克；容量治疗；抢救InfluenceofStrokeVolumeVariationGuideDistributiveShockCapacityontheSuccessRateofPatientsinEmergencyTreatment/HUZheng-xiang,YANGKui-yuan,DENGYing
3、.//MedicalInnovationofChina,2015,12（15）：055-057[Abstract]Objective：Toexploretheinfluenceofstrokevolumevariationguidedistributiveshockcapacityonthesuccessrateofpatientsinemergencytreatment.Method:38patientswithdistributiveshockinICUofdepartmentofneurosurgeryofourhospitalfromM
4、arch2012toSeptember2014wereselected,andweredividedintocontrolgroup(19cases,centralvenouspressuregroup)andobservationgroup(19cases,strokevolumevariationgroup),therescuesuccessrateofthetwogroupswerecompared.Result：Theobservationgroupwasquicklylostcrystalliquidfluence,crystalli
5、quidtomaintaintheamountofcolloidfastinfusionquantityandcrystalloidinfusionamount,colloidinfusionamountandthetotalvolumeoftransfusionweresignificantlylowerthanthatofcontrolgroup,andtherescuesuccessratewassignificantlyhigherthanthecontrolgroup,thedifferenceswerestatisticallysi
6、gnificant(P<0.05)・Comparedwithbeforetreatment，twogroupsofpatientswithHR，CVP,MAPindicatorswereimprovedindifferentdegree,thedifferenceswerestatisticallysignificarit(P〈0.05).Buttheindicatorsintheobservationgroupthaninthecontrolgroupimprovedmoreobviously,thedifferenceswerestatis
7、ticallysignificant(P<0.05)•Conclusion：Strokedistributiveshockcapacityvariationundertheguidanceofthetreatmentcaneffectivelyimprovethesuccessrateofrescue.[Keywords]Strokevolumevariation；Distributiveshock；Volumetherapy；RescueFirst-author"saddress：ZhongkaiGaoxinDistrictPeople'sH
8、ospitalofHuizhou,Huizhou516229,Chinadoi：10.3969/j.issn.1674-4985.2015.15.01
