| 仇杰,马冬纹,费忠化,刘宏生,程前进.瓣膜置换术后中心静脉血氧饱和度测定的临床价值[J].济宁医学院学报,2012,(1):39-41 |
| 瓣膜置换术后中心静脉血氧饱和度测定的临床价值 |
| The clinical practice of central venous blood oxygen saturation after heart valve replacement operation |
| 投稿时间：2011-12-15 |
| DOI：10.3969/j.issn.1000-9760.2012.01.012 |
| 中文关键词: 中心静脉血氧饱和度|瓣膜病|术后|并发症 |
| 英文关键词: Central venous blood oxygen saturation;Valve disease;Postoperative;Complications |
| 基金项目: |
| 作者 | 单位 | | 仇杰 | 济宁医学院附属医院山东省心脏疾病诊疗重点实验室, 山东济宁 272029 | | 马冬纹 | 济宁医学院附属医院山东省心脏疾病诊疗重点实验室, 山东济宁 272029 | | 费忠化 | 济宁医学院附属医院山东省心脏疾病诊疗重点实验室, 山东济宁 272029 | | 刘宏生 | 济宁医学院附属医院山东省心脏疾病诊疗重点实验室, 山东济宁 272029 | | 程前进 | 济宁医学院附属医院山东省心脏疾病诊疗重点实验室, 山东济宁 272029 |
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| 中文摘要: |
| 目的 研究瓣膜置换术后早期中心静脉血氧饱和度(ScvO2)水平与术后并发症的关系。方法 随机选取2011年1月至2011年7月间60例心脏瓣膜病术后患者,于术后4h,8h及12h分别测定动脉及中心静脉血气分析,并按ScvO2均数将60例患者分为≤65%(A组,n=24)、> 65%(B组,n=36)两组。统计两组患者的气管插管时间、ICU停留时间、围术期并发症的发生率,并讨论它们在不同水平的ScvO2下的差异性。结果 瓣膜置换术后,A、B两组患者心肺并发症(如低心排、心律失常、低氧血症)、气管插管时间、ICU停留时间之间差异有显著性(P<0.05);出血、应激性溃疡等并发症差异不显著(P>0.05)。结论 心脏瓣膜病瓣膜置换术后早期ScvO2水平可影响术后并发症的发生,能作为衡量术后患者组织氧供需平衡的良好指标,对预见和早期治疗并发症具有重要的意义。 |
| 英文摘要: |
| Objective To investigate the relationship between perioperative factors, postoperative complications and different 1evels of central venous blood oxygen saturation after the heart valve replacement operation.Methods Total 60 patients with heart valve disease were randomly selected from January to July in 2011. And 4, 8 or 12 hour after the operation the arterial and central venous blood gas analysis were tested at the same time. Then all the 60 patients were divided into two groups according to the means of ScvO2:≤65% (group A, n=24), > 65% (group B, n=36). We made a count on tracheal intubation time, ICU stay time and perioperative complications number of the two groups, and discussed their otherness at different levels of ScvO2.Results After heart valve replacement operation, there were significant differences between the two groups on postoperative complications (Low cardiac output, Arrhythmia, Hypoxemia), tracheal intubation time, ICU stay time (P<0.05), while there was no obvious difference on some complications such as bleeding and stress ulcer (P>0.05).Conclusion Value of ScvO2 in early period after heart operation can affect the incidence of complications, and be used as a good index which can reflect the balance of tissue oxygen between supply and demand of the patients. It has a vital significance on foreseeing and early treatment of the complications. |
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