中国基层医药
中國基層醫藥
중국기층의약
CHINESE JOURNAL OF PRIMARY MEDICINE AND PHARMACY
2011年
15期
2042-2043
,共2页
休克%补液方法
休剋%補液方法
휴극%보액방법
Shock%Fluid Therapy
目的 评价早期液体复苏治疗感染中毒性休克的疗效。方法 对感染中毒性休克患者56例分为两组，早期液体复苏组(治疗组)29例，在控制感染的基础上，积极的液体复苏达到早期复苏目标，常规组27例，给予传统的循环与容量支持等常规治疗。观察两组治疗6h及24h时的CVP、MAP、ScvO2、SaO2，及多脏器功能衰竭发生率、病死率。结果 治疗组CVP、MAP、ScvO2 、SaO2、多器官衰竭发生率及病死率指标与常规组差异有统计学意义(P＜0.05)。结论 早期液体复苏治疗可改善感染中毒性休克患者的预后，减少多器官功能衰竭的发生率，降低病死率。
目的 評價早期液體複囌治療感染中毒性休剋的療效。方法 對感染中毒性休剋患者56例分為兩組，早期液體複囌組(治療組)29例，在控製感染的基礎上，積極的液體複囌達到早期複囌目標，常規組27例，給予傳統的循環與容量支持等常規治療。觀察兩組治療6h及24h時的CVP、MAP、ScvO2、SaO2，及多髒器功能衰竭髮生率、病死率。結果 治療組CVP、MAP、ScvO2 、SaO2、多器官衰竭髮生率及病死率指標與常規組差異有統計學意義(P＜0.05)。結論 早期液體複囌治療可改善感染中毒性休剋患者的預後，減少多器官功能衰竭的髮生率，降低病死率。
목적 평개조기액체복소치료감염중독성휴극적료효。방법 대감염중독성휴극환자56례분위량조，조기액체복소조(치료조)29례，재공제감염적기출상，적겁적액체복소체도조기복소목표，상규조27례，급여전통적순배여용량지지등상규치료。관찰량조치료6h급24h시적CVP、MAP、ScvO2、SaO2，급다장기공능쇠갈발생솔、병사솔。결과 치료조CVP、MAP、ScvO2 、SaO2、다기관쇠갈발생솔급병사솔지표여상규조차이유통계학의의(P＜0.05)。결론 조기액체복소치료가개선감염중독성휴극환자적예후，감소다기관공능쇠갈적발생솔，강저병사솔。
Objective To evaluate the effect of early fluid resuscitation in treatment of septic shock.Methods 56 patients with septic shock in ICU were divided into two groups by the method of the treatment. Early goal-directed therapy were given in the early fluid resuscitation group except anti-infective treatment, and the traditional therapy were given in the traditional group. The CVP,MAP,ScvO2 ,SaO2 of 6h and 12h of intra-treatment were observed in the two groups, and the incidence of MODS and the mortality rate were observed also. Results The CVP,MAP, ScvO2, SaO2 of the early fluid resuscitation group were improved better than that in the traditional group. The incidence of MODS and the mortality rate in the early fluid resuscitation group were lower than that in the traditional group. Conclusion The prognosis of septic shock was better for the early fluid resuscitation, and it could lower the incidence of MODS and the mortality rate.
