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《心脏杂志》[ISSN:1009-7236/CN:61-1268/R]

期数:

2014年第5期

页码:

547-549

栏目:

临床研究

出版日期:

2014-05-25

文章信息/Info

Title:

Clinical value of impedance cardiography in early treatment of congestive heart failure

作者:

李秀琪¹; 谢 刚¹; 芦 兰²; 李 力¹; 师幸伟¹

(长江航运总医院：1.心内科，2.肿瘤科，湖北 武汉 430000)

Author(s):

LI Xiu-qi¹;  XIE Gang¹;  LU Lan²;  LI Li¹;  SHI Xing-wei¹

(1.Department of Cardiology, 2.Department of Oncology General Hospital, Yangtze River Shipping Group, Wuhan 430000, Hubei, China)

关键词:

无创心功能检测仪; 心阻抗法; 心力衰竭; 充血性; 血流动力学

Keywords:

noninvasive cardiac function detector;  hemodynamic changes;  congestive heart failure

分类号:

R541.61

DOI:

-

文献标识码:

A

摘要:

目的:探讨应用心阻抗法无创心功能检测仪监测充血性心力衰竭（CHF)时血流动力学变化，指导下一步治疗的应用价值。方法： 入选67例CHF患者，应用无创心功能检测仪监测心率、基础阻抗、每搏输出量、心排血量、心缩力指数、收缩功能指数、舒张功能指数、外周血管阻力和血管顺应性指标，统计分析其用药前、用药后3 h和用药后3 d的患者的症状和以上指标的变化，分析无创心功能检测仪的应用价值。结果： 用药前、用药后3 h和用药后3 d统计学分析显示心率和外周血管阻力下降，基础阻抗、每搏输出量、心排血量、心缩力指数、收缩功能指数、舒张功能指数和血管顺应性升高，有统计学差异((均P<0.01）。结论: 无创心功能检测仪能反映CHF时血流动力学变化的过程，对CHF的治疗有一定的指导意义。

Abstract:

AIM:To investigate the clinical value of noninvasive cardiac impedance detector in monitoring hemodynamic changes of congestive heart failure (CHF) for further treatment. METHODS: Noninvasive cardiac impedance detector was applied in 67 patients with CHF and indicators including heart rate, base impedance, stroke volume, cardiac output, cardiac contractility index, systolic function index, diastolic function index, total peripheral vascular resistance and blood vessel compliance were monitored. Changes of symptoms and the above indicators before and 3 h after treatment and on the third day after disease onset were recorded and analyzed. RESULTS: Statistical analysis showed that heart rate and total peripheral vascular resistance decreased, and base impedance, stroke volume, cardiac output, cardiac contractility index, systolic function index, diastolic function index, and blood vessel compliance indicators significantly increased before and after treatment. CONCLUSION: Noninvasive cardiac function detector can reflect hemodynamic changes in CHF and has some clinical value for the treatment of CHF.

参考文献/References

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备注/Memo

备注/Memo:

收稿日期：2014-01-23.
通讯作者：师幸伟，副主任医师，主要从事心律失常研究 Email：574164609@qq.com
作者简介：李秀琪，副主任医师 Email：lixiuqi0604@163.com

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更新日期/Last Update: 2014-06-05