Application of severe ultrasound monitoring guidance in ARDS patients requiring hemodynamic monitoring and its effect on NT-proBNP,myocardial enzymes and A-aDO2
Objective:To investigate the application effect of severe ultrasound monitoring in patients with Acute respiratory distress syndrome(ARDS)requiring hemodynamic monitoring.Methods:A total of 103 ARDS patients admitted to our department from July 2020 to May 2022 for hemodynamic monitoring were selected as research objects,and randomly divided into control group(n=51)and observation group(n=52).The control group received the guidance of Pulse indicator continuous cardiac output(PiCCO),while the observation group received the guidance of intensive ultrasound combined with PiCCO monitoring.Blood volume,cardiac function and oxygenation were compared between the two groups.Results:After 3d treatment,the variation rate of Inferior Vena Cava respiratory,Stroke volume(SV)and Central venous pressure(CVP)in the observation group are higher than those in the control group,and Inferior Vena Cava,IVC was lower than that of control group(P<0.05).Serum N-terminal B-type natriuretic peptide(NT-proBNP),Creatine kinase-MB(CK-MB)and Creatine Kinase(Creatine Kinase)in the observation group.The level of CK was lower than that of control group(P<0.05).The oxygenation index of the observation group was higher than that of the control group,and the Alveolar-arterial oxygen partial pressure difference(A-aDO2)was lower than that of the control group(P<0.05).The liquid intake in the observation group was lower than that in the control group,but the liquid output was higher than that in the control group(P<0.05).Conclusion:Intensive ultrasound combined with PiCCO monitoring guidance for ARDS volume management can better improve lung oxygenation,reduce fluid intake on the basis of restoring normal blood volume,and promote the recovery of cardiac function.
Acute respiratory distress syndromeContinuous cardiac output monitoringBlood volumeCardiac functionRespiratory function
万方数据
