CAJ | 학술논문

目的：探讨综合性抢救（ CET）治疗对产后出血致多脏器功能衰竭（ MODS）的影响。方法产后出血致MODS患者86例，采用随机数字表法随机分成研究组（45例）和对照组（41例）。对照组实施常规抢救方案治疗，研究组则实施CET方案治疗，对比两组治疗前后患者动脉血氧饱和度、平均动脉压、心率、血小板、APACHEⅡ评分情况以及肝、心脏、肾脏损害情况。结果研究组抢救后的动脉SpO 2、平均动脉压水平显著高于对照组（P＜0．05），心率、血小板、APACHEⅡ值、冬氨酸氨基转移酶、乳酸脱氢酶、肌酸激酶、酸激酶同工酶、碱性磷酸酶、肌酐、N-乙酰-β-D-氨基葡萄糖苷酶水平显著低于对照组（ P＜0．05）。结论 CET方案对产后出血致MODS患者实施抢救治疗，可明显改善患者APACHEⅡ评分以及心、肝、肾等功能。
목적：탐토종합성창구（ CET）치료대산후출혈치다장기공능쇠갈（ MODS）적영향。방법산후출혈치MODS환자86례，채용수궤수자표법수궤분성연구조（45례）화대조조（41례）。대조조실시상규창구방안치료，연구조칙실시CET방안치료，대비량조치료전후환자동맥혈양포화도、평균동맥압、심솔、혈소판、APACHEⅡ평분정황이급간、심장、신장손해정황。결과연구조창구후적동맥SpO 2、평균동맥압수평현저고우대조조（P＜0．05），심솔、혈소판、APACHEⅡ치、동안산안기전이매、유산탈경매、기산격매、산격매동공매、감성린산매、기항、N-을선-β-D-안기포도당감매수평현저저우대조조（ P＜0．05）。결론 CET방안대산후출혈치MODS환자실시창구치료，가명현개선환자APACHEⅡ평분이급심、간、신등공능。
Objective To discuss the impact of comprehensive emergency treatment ( CET ) on patients with multiple organ dysfunction syndrome ( MODS ) induced by postpartum hemorrhage .Methods Eighty-six MODS patients induced by postpartum hemorrhage were divided into research group (45 cases) and control group (41 cases) according to the random number table .The control group was treated with conventional emergency treatment regimen , while the research group was treated with CET regimen .SpO2,mean arterial pressure(MAP),heart rate,platelet count and APACHEⅡscore as well as the changes of hepatic,cardia and renal functions before and after treatment were compared between two groups.Results After treatment ,SpO2 ,MAP levels in the research group were significantly higher than the controls (P<0.05).Heart rate,platelet count and APACHEⅡ score as well as the levels of AST,low-density lipoprotein (LDL),creatine kinase(CK),CK-MB,ALT,creatinine(Cr) and NAG were significantly lower than the controls ( P<0 .05 ) .Conclusion CET regimen for patients with MODS induced by postpartum hemorrhage can significantly improve APACHEⅡscore as well as cardia ,hepatic and renal functions .