| Objective To discuss the application values of pulse induced contour cardiac output (PiCCO) in rescue of neurological intensivepatients. Methods With review of literature,30 patients with neurological intensive were selected in Department of Intensive Care Unit of Huangshan People's Hospital form Nov 2011 to June 2014.According to under the PICCO monitor or not,all the subjects of study were divided into the observation group with 14 cases and the control group with 16 cases.In the observation group, PICCO monitor was used to guide fluid resuscitation,while heart rate (HR),blood pressure (BP),urine volume,lactic acid (LAC) and central venous pressure (CVP) were used in the control group.The mean arterial pressure (MAP),HR,elimination rate of blood lactic acid of the patients 24 h after treatment in two group were compared.28 days mortality,90 days good recovery rates (GCS> 8),mechanical ventilation time and ICU stay time in survival were compared, too.Results The age,gender,MAP,HR,LAC,disease constitution and severity showed no significant difference between two groups before treatment (P>0.05).24 hafter treatment,there was no significant difference between two groups in HR (P>0.05).But the MAP and elimination rate of blood lactic acid of the observation group were significantly higher than those in the control group (P<0.05).There was no significant difference of 28 days mortality(P>0.05),however, 90 days good recovery rates were significantly higher (P<0.05).Meanwhile,there was no significant of mechanical ventilation time and ICU stay time in survival (P>0.05).Conclusion The pulse induced contour cardiac output (PiCCO) can improve resuscitation effect in early neurological intensivepatients, increase tissue perfusion, and improve prognosis,which is worth clinical application and promotion. |
