[1]张安科 乔卫龙 王平 沈凯风 唐建辉.不同体位下腔静脉直径及其变异度的相关性分析[J].心血管病学进展,2024,(7):661.[doi:10.16806/j.cnki.issn.1004-3934.2024.07.018]
　ZHANG Anke,QIAO Weilong,WANG Ping,et al.Correlation Analysis of Inferior Vena Cava Diameter and Its Variability in Different Body Positions[J].Advances in Cardiovascular Diseases,2024,(7):661.[doi:10.16806/j.cnki.issn.1004-3934.2024.07.018]
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不同体位下腔静脉直径及其变异度的相关性分析()
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《心血管病学进展》[ISSN:51-1187/R/CN:1004-3934]

卷:
期数:
2024年7期
页码:
661
栏目:
论著
出版日期:
2024-07-25

文章信息/Info

Title:
Correlation Analysis of Inferior Vena Cava Diameter and Its Variability in Different Body Positions
作者:
张安科1 乔卫龙1 王平2 沈凯风1 唐建辉1
(1.金堂县第二人民医院/成都市第三人民医院淮州新城医院,四川 成都 610400;2.成都市第三人民医院,四川 成都 610031)
Author(s):
ZHANG Anke1; QIAO Weilong1; WANG Ping2; SHEN Kaifeng1; TANG Jianhui1
?1. Jintang County Second People’s Hospital/Chengdu Third People’s Hospital Huaizhou New City Hospital,Chengdu 610400,Sichuan,China; 2. The Third People’s Hospital of Chengdu,Chengdu 610031,Sichuan,China)
关键词:
下腔静脉; 床旁检测; 超声检查
Keywords:
Inferior vena cava; Bedside testing; Ultrasound examination
DOI:
10.16806/j.cnki.issn.1004-3934.2024.07.018
摘要:
目的 探讨床头抬高30°斜卧位能否替代仰卧位作为超声测量下腔静脉直径（IVCD）反映容量状态的体位。方法 选择金堂县第二人民医院重症医学科2021年1月 —2023年1月的60例重症患者，在仰卧和床头抬高30°两种体位下用超声测量IVCD最大值、最小值和变异度，t检验比较两种体位IVCD差异、组内相关系数（r）进行一致性评价。结果 仰卧位IVCD平均最小值（1.43±0.47）cm、平均最大值（1.76±0.46）cm和平均变异度（26.46±18.40）%与床头抬高30°斜卧位IVCD平均最小值（1.46±0.43）cm、平均最大值（1.78±0.43）cm和平均变异度（24.38±16.60）%比较无统计学意义（P＞0.05）。组内相关系数表明两种体位IVCD的最小值（r=0.932）和最大值（r=0.915）具有极好一致性，变异度（r=0.728）具有一致性。进一步的亚组分析也得出了类似的结果。结论 床头抬高30°斜卧位可替代 仰卧位作为测量IVCD的体位用于评估重症患者的血容量，有一定的临床应用价值。
Abstract:
Objective To explore whether a 30 ° bed head elevation position can replace a supine position as a position for ultrasound measurement of inferior vena cava diameter(IVCD) to reflect volume status. Methods A total of 60 severe patients from the Department of Intensive Care Unit of Jintang County Second People’s Hospital from January 2021 to January 2023 were selected. The maximum,minimum and variability of IVCD were measured by ultrasound in both supine and bed head elevated 30° position. Student’s t-test was used to compare the difference in IVCD between the two positions,and internal correlation coefficients( r) plots were used for consistency evaluation within the group. Results There was no statistical significance in comparing the mean minimum (1.43±0.47) cm,mean maximum (1.76±0.46) cm,and mean variability (26.46±18.40)% of IVCD in the supine position with the mean minimum (1.46±0.43) cm,mean maximum (1.78±0.43) cm,and mean variability (24.38±16.60)% of IVCD in the 30 ° bed head elevation position(P>0.05). The internal correlation coefficients showed excellent consistency in the minimum( r=0.932) and maximum(r=0.915) of IVCD for the two positions,and consistency in the variability(r=0.728). Further subgroup analysis yielded similar results. Conclusion The 30° bed head elevation position may be used as an alternative to the supine position for IVCD measurement during assessment of blood volume in severe patients ,and has certain clinical application value

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更新日期/Last Update: 2024-08-09