国际医药卫生导报
國際醫藥衛生導報
국제의약위생도보
INTERNATIONAL MEDICINE & HEALTH GUIDANCE NEWS
2012年
2期
200-202
,共3页
张淇钏%方喜斌%李智业%王奕中%郭湖坤%陈纪平
張淇釧%方喜斌%李智業%王奕中%郭湖坤%陳紀平
장기천%방희빈%리지업%왕혁중%곽호곤%진기평
早期%容量复苏%控制高血糖反应%多器官功能障碍
早期%容量複囌%控製高血糖反應%多器官功能障礙
조기%용량복소%공제고혈당반응%다기관공능장애
Volume resuscitation%Control of hyperglycemia%Multiple organ dysfunction%Multiple organ dysfunction syndrom
目的 探讨早期容量复苏和控制高血糖反应对MODS预后的影响.方法 将76例MODS患者随机分成两组,治疗组(40例)入住ICU早期(6h)内即进行容量复苏和控制高血糖反应的治疗；对照组(36例)按常规方法治疗,比较两组患者的APACHEⅡ评分、ICU住院时间、ICU病死率.结果 治疗组的24h和48 h APACHEⅡ在评分、ICU住院时间、ICU病死率明显优于对照组(P＜0.05).结论 早期容量复苏和控制高血糖反应可明显改善MODS的预后.
目的 探討早期容量複囌和控製高血糖反應對MODS預後的影響.方法 將76例MODS患者隨機分成兩組,治療組(40例)入住ICU早期(6h)內即進行容量複囌和控製高血糖反應的治療；對照組(36例)按常規方法治療,比較兩組患者的APACHEⅡ評分、ICU住院時間、ICU病死率.結果 治療組的24h和48 h APACHEⅡ在評分、ICU住院時間、ICU病死率明顯優于對照組(P＜0.05).結論 早期容量複囌和控製高血糖反應可明顯改善MODS的預後.
목적 탐토조기용량복소화공제고혈당반응대MODS예후적영향.방법 장76례MODS환자수궤분성량조,치료조(40례)입주ICU조기(6h)내즉진행용량복소화공제고혈당반응적치료；대조조(36례)안상규방법치료,비교량조환자적APACHEⅡ평분、ICU주원시간、ICU병사솔.결과 치료조적24h화48 h APACHEⅡ재평분、ICU주원시간、ICU병사솔명현우우대조조(P＜0.05).결론 조기용량복소화공제고혈당반응가명현개선MODS적예후.
Objective To evaluate the influence of early volume resuscitation and control of hyperglycemia to prognosis Of multiple organ dysfunction.Methods 76 patients with MODS were randomly divided into two groups,treatment group(40 cases)admitted to the ICU accept the treatment of volume resuscitation and control of hyperglycemia in early 6 hours,while the control group(36 cases)accept the treatment of conventional methods.And toCompared two groups of patients with APACHE Ⅱ score,length of stay in ICU,mortality in ICU.Results Treatment group of was significantly better than the control group with APACHE Ⅱ score,length of stay in ICUandmortality in ICU after 24 or 48 hours(P＜0.05).Conclusion Early volume resuscitation and control of hyperglycemia can significantly improve the prognosis of MODS.
