Department of Critical Care Medicine, Hangzhou TCM Hospital Affiliated to Zhejiang Chinese Medical University, Hangzhou, Zhejiang, China.
Department of Acupuncture Rehabilitation, Hangzhou TCM Hospital Affiliated to Zhejiang Chinese Medical University, Hangzhou, Zhejiang, China.
Technol Health Care. 2024;32(6):4785-4800. doi: 10.3233/THC-231859.
The kidney is the most vulnerable organ in severe patients. In severe cases, the fatality rate of acute kidney damage is as high as 30% ∼ 60%. Severe ultrasound is a non-invasive method to evaluate renal blood flow. It can give a semi-quantitative score of renal blood flow and measure the Resistance Index (RI), which can reflect renal artery blood flow to a certain extent.
There is little literature on hemodynamic regulation in septic shock patients, but almost no research report on the relationship between hemodynamics and RI exists. Therefore, this paper proposed the analysis of severe ultrasound and gene diagnosis in cardiac index and peripheral vascular RI of shock patients.
This paper mainly expounded on detecting renal function parameters and RI in patients with viral shock to understand further the correlation between them and renal flow and RI.
It could be seen from the experimental results that the P values before and after resuscitation in the two groups with and without elevated Cardiac Output (CO) were 0.41 and 0.12, respectively, which were more significant than 0.05.
RI had no apparent relationship with CO, and RI could not be used as an evaluation index for patients with early septic shock.
肾脏是重症患者中最易受损的器官。在重症情况下，急性肾损伤的死亡率高达 30%∼60%。重症超声是评估肾血流的一种非侵入性方法。它可以对肾血流进行半定量评分，并测量阻力指数（RI），在一定程度上可以反映肾动脉血流情况。
有关脓毒性休克患者血流动力学调节的文献较少，但血流动力学与 RI 的关系几乎没有研究报道。因此，本文提出了对休克患者心指数和外周血管 RI 的重症超声和基因诊断分析。
本文主要阐述了检测病毒性休克患者的肾功能参数和 RI，以进一步了解它们与肾血流和 RI 的相关性。
从两组有和没有心输出量（CO）升高的患者复苏前后的实验结果可以看出，两组的 P 值分别为 0.41 和 0.12，均显著大于 0.05。
RI 与 CO 没有明显关系，RI 不能作为早期脓毒性休克患者的评价指标。
