首页|临床监测——数值是身体时间是生命

临床监测——数值是身体时间是生命

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监测是目前重症治疗中常见的临床行为,具有与诊断明显不同的特点和临床应用方式。监测指标通常针对性地指向某个具体的生理位点,用定量的数值表示这个位点的即时情况;连续对这个位点进行测量,指标数值的改变可以反映出生理变化或病情发展。如果临床采用针对性作用于这个位点的干预方法进行治疗,那么,监测指标的数值就代表了干预的强度,数值的变化则代表了干预作用的方向,从而构成对干预方法实施的反馈性调节。只有保证干预方法的精准实施,才有可能发挥出最佳的治疗效应。但是,监测本身不是治疗,只有医务人员理解监测指标的特点,掌握临床监测的应用,监测才有临床应用的价值,才具有生命的意义。
Clinical monitoring:numerical value is the body and timing is life
Monitoring is more common in today's clinical practice,especially in critical care medicine.Any confusion between monitoring and diagnosis will mislead clinical behavior which could be disastrous.A monitoring parameter usually focuses on a specific physiological point and represents the immediate situation of the point with quantitative values.A series of numerical value of monitoring parameters indicate physiological change or a disease process.If the clinical intervention targeted at the point,the numerical value represents the strength and the direction of the intervention.However,monitoring itself is not a therapeutical method.Only when medical personnel understand the characteristics of the parameters totally and use them to guide feedback management,and then to constitute accurate implementation of intervention methods,monitoring is worth to practise,and it is of clinical significance.

Clinical monitoringAccuracyTimingIntervention

刘大为

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中国医学科学院 北京协和医学院 北京协和医院重症医学科,北京 100730

临床监测 准确性 时间性 干预性

2024

中华危重病急救医学
中华医学会

中华危重病急救医学

CSTPCD北大核心
影响因子:3.049
ISSN:2095-4352
年,卷(期):2024.36(1)
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