NICaS与其他血流动力学监测技术的对比分析及应用研究
Comparative Analysis and Application of NICaS and Other Hemodynamic Monitoring Techniques
DOI: 10.12677/acm.2025.153805, PDF,    国家自然科学基金支持
作者: 樊星星, 员峰莉:西安医学院研究生院,陕西 西安;空军军医大学唐都医院心血管内科,陕西 西安;牛晓琳*:空军军医大学唐都医院心血管内科,陕西 西安
关键词: 无创全身阻抗心输出量监测系统血流动力学心血管疾病急危重症Noninvasive Cardiac System Hemodynamics Cardiovascular Diseases Critical Illness
摘要: 目前,尽管有机械循环支持及血运重建等技术不断发展并应用于临床,但很多难治性危重疾病仍保持较高的死亡等不良事件风险。无创全身阻抗心输出量监测系统(NICaS)是一种新型血流动力学导航仪,可连续准确地进行心功能和循环血量监测,帮助医生进行容量管理及药物调整等,不仅可以减少心衰、肺水肿及死亡的发生,还可以有效降低机械通气事件,提高患者生存率。其价值不仅在心血管系统中得到证实,在其他各系统中的应用也得到了充分肯定。本文综述了NICaS在心血管疾病及其他各系统相关研究中的应用及进展。
Abstract: At present, despite the continuous development and clinical application of mechanical circulatory support and revascularization technologies, many refractory critical diseases still maintain a high risk of adverse events such as death. Noninvasive Cardiac System (NICaS) is a new hemodynamic navigation device, which can continuously and accurately monitor cardiac function and circulating blood volume, help doctors to carry out volume management and drug adjustment, etc., which can not only reduce the occurrence of heart failure, pulmonary edema and death, but also effectively reduce mechanical ventilation events and improve patient survival. Its value has been confirmed not only in the cardiovascular system, but also in other systems. This article reviews the application and progress of NICaS in cardiovascular diseases and other system-related studies.
文章引用:樊星星, 员峰莉, 牛晓琳. NICaS与其他血流动力学监测技术的对比分析及应用研究[J]. 临床医学进展, 2025, 15(3): 1780-1786. https://doi.org/10.12677/acm.2025.153805

参考文献

[1] Rafaeli Rabin, R., Rosin, I., Matitiau, A., Simpson, Y. and Flidel-Rimon, O. (2020) Assessing Patent Ductus Arteriosus (PDA) Significance on Cardiac Output by Whole-Body Bio-Impedance. Pediatric Cardiology, 41, 1386-1390. [Google Scholar] [CrossRef] [PubMed]
[2] Taniguchi, Y., Emoto, N., Miyagawa, K., Nakayama, K., Kinutani, H., Tanaka, H., et al. (2013) Noninvasive and Simple Assessment of Cardiac Output and Pulmonary Vascular Resistance with Whole-Body Impedance Cardiography Is Useful for Monitoring Patients with Pulmonary Hypertension. Circulation Journal, 77, 2383-2389. [Google Scholar] [CrossRef] [PubMed]
[3] Singh, N., Bhavya, G., Nagaraja, P., Ragavendran, S., Sathish, N., Manjunath, N., et al. (2020) Comparison of Continuous Cardiac Output Monitoring Derived from Regional Impedance Cardiography with Continuous Thermodilution Technique in Cardiac Surgical Patients. Annals of Cardiac Anaesthesia, 23, 189-192. [Google Scholar] [CrossRef] [PubMed]
[4] 郭芳. 基于pSOFA评分儿童脓毒症预后的预测模型建立及应对策略[D]: [博士学位论文]. 石家庄: 河北医科大学, 2023.
[5] Gao, X., Chen, M.L., Wang, Y.F., et al. (2020) The Role of Noninvasive Hemodynamic Monitoring in the Evaluation of Acute and Severe Pesticide Poisoning. Chinese Journal of Industrial Hygiene and Occupational Diseases, 38, 881-885. [Google Scholar] [CrossRef] [PubMed]
[6] 高珣, 王玉凤, 肖青勉, 等. 无创血流动力学监测在急性百草枯中毒病情评估中的作用[J]. 实用医学杂志, 2020, 36(21): 2947-2952.
[7] Platz, E., Jhund, P.S., Girerd, N., Pivetta, E., McMurray, J.J.V., Peacock, W.F., et al. (2019) Expert Consensus Document: Reporting Checklist for Quantification of Pulmonary Congestion by Lung Ultrasound in Heart Failure. European Journal of Heart Failure, 21, 844-851. [Google Scholar] [CrossRef] [PubMed]
[8] 吴文燊, 何晓光, 林淑莲, 等. 阻抗法与多普勒超声心动图法测量新生儿心输出量一致性研究[J]. 实用休克杂志(中英文), 2018, 2(3): 166-168.
[9] 陈朴, 章云涛, 方强. 无创心输出量监测在危重病监护中的应用[J]. 中国实用内科杂志, 2004(10): 601-602.
[10] Germain, M.J., Joubert, J., O'Grady, D., Nathanson, B.H., Chait, Y. and Levin, N.W. (2017) Comparison of Stroke Volume Measurements during Hemodialysis Using Bioimpedance Cardiography and Echocardiography. Hemodialysis International, 22, 201-208. [Google Scholar] [CrossRef] [PubMed]
[11] 朱妍, 吉猛, 袁晓伟, 等. NICaS监测下多巴酚丁胺负荷试验中感染性休克患者血流动力学变化与预后的关系[J]. 中国急救医学, 2020, 40(9): 858-863.
[12] 朱妍. NICaS用于脓毒症患者心功能监测的临床研究[D]: [硕士学位论文]. 重庆: 第二军医大学, 2018.
[13] Cotter, G., Moshkovitz, Y., Kaluski, E., Cohen, A.J., Miller, H., Goor, D., et al. (2004) Accurate, Noninvasive Continuous Monitoring of Cardiac Output by Whole-Body Electrical Bioimpedance. Chest, 125, 1431-1440. [Google Scholar] [CrossRef] [PubMed]
[14] Anshory, M., Kuan, W.S., Rohman, M.S., Waranugraha, Y., Kamila, P.A., Iskandar, A., et al. (2024) Can Non-Invasive Cardiac Hemodynamics and Fluid Content System (NICaS) Parameters Predict Acute Heart Failure Outcomes in Caucasian and Asian Patients in the Emergency Department? Advances in Medical Sciences, 69, 81-89. [Google Scholar] [CrossRef] [PubMed]
[15] 平鑫, 李纪, 于涵涛, 等. 阻抗心输出量监测系统在高血压治疗中的应用研究[J]. 齐齐哈尔医学院学报, 2018, 39(5): 562-564.
[16] 平鑫. 阻抗心输出量监测系统在高血压治疗中的应用研究[D]: [硕士学位论文]. 长春: 吉林大学, 2018.
[17] 郭龙哲, 宁文龙, 刘飞, 等. 阻抗心输出量监测系统在AMI患者PCI术后的应用研究[J]. 齐齐哈尔医学院学报, 2020, 41(13): 1643-1645.
[18] 康磊, 郭芳, 白新凤, 等. 无创心输出量监测在暴发性心肌炎患儿中的应用[J]. 河北医科大学学报, 2023, 44(1): 81-85+90.
[19] Grinberg, T., Aviv, Y., Vaturi, M., Perl, L., Wiessman, M., Vaknin-Assa, H., et al. (2023) Noninvasive Hemodynamic Evaluation Following TAVI for Severe Aortic Stenosis. Journal of the American Heart Association, 12, e028479. [Google Scholar] [CrossRef] [PubMed]
[20] Goldkorn, R., Naimushin, A., Rozen, E. and Freimark, D. (2020) Early Post-Stress Decrease in Cardiac Performance by Impedance Cardiography and Its Relationship to the Severity and Extent of Ischemia by Myocardial Perfusion Imaging. BMC Cardiovascular Disorders, 20, Article No. 354. [Google Scholar] [CrossRef] [PubMed]
[21] 孙志辉, 杨伟, 王敏, 等. NICaS用于危重患者液体管理的应用效果观察分析[J]. 婚育与健康, 2023, 29(6): 187-189.
[22] 宁文龙. 阻抗容量监测仪(NICaS)在急性乐果中毒给予机械通气治疗患者中的临床研究[Z]. 齐齐哈尔市第一医院, 2017-02-09.
[23] 宁文龙, 李纪, 贾冰, 等. 阻抗容量监测仪(NICaS)在急性乐果中毒给予机械通气治疗患者中的临床研究[J]. 齐齐哈尔医学院学报, 2016, 37(25): 3140-3141.
[24] 李立方. 无创全身阻抗心输出量监测系统在急性白血病儿童脓毒症休克治疗中的应用研究[D]: [硕士学位论文]. 石家庄: 河北医科大学, 2023.
[25] 关红, 杜俊凯. NICaS监测脓毒症休克患者体液复苏的应用及对微循环、血流动力学的影响[J]. 中国急救复苏与灾害医学杂志, 2021, 16(11): 1262-1265.
[26] 张岚, 赵华栋, 贺武斌, 等. NICaS在老年腹部术后机械通气患者中的应用[J]. 锦州医科大学学报, 2021, 42(3): 78-82.
[27] Zabeeda, W., Cohen, J.B., Reiner Benaim, A., Zarour, S., Lichter, Y., Matot, I., et al. (2024) Utility of NICaS Non-Invasive Hemodynamic Monitoring in Critically Ill Patients with Covid-19. Journal of Clinical Medicine, 13, Article 2072. [Google Scholar] [CrossRef] [PubMed]
[28] Çavuş, Z., Vahapoğlu, A., Türkmen, Ü.A., Gencer, F.K. and Yıldız, E. (2023) Comparing Elective and Emergency Caesarean Section by Using Bioimpedance Method. Archives of Gynecology and Obstetrics, 309, 2633-2641. [Google Scholar] [CrossRef] [PubMed]