CAJ | 학술논문

目的：探讨早期高容量血液滤过对感染性休克患者预后的影响。方法选取该院2008年2月至2013年9月收治的80例感染性休克患者，分为对照组和观察组，2组均给予常规对症支持治疗。观察组于6 h内行早期高容量血液滤过治疗，对照组于6 h后行高容量血液滤过治疗。比较2组脏器功能恢复情况，APACHEⅡ评分、M ODS评分改善情况。结果治疗24 h后观察组患者各脏器好转程度显著优于对照组。观察组治疗后 A-PACHEⅡ评分、MODS评分也显著优于对照组，差异均有统计学意义（P＜0．05）。结论早期高容量血液滤过对感染性休克患者预后具有积极的临床意义。
목적：탐토조기고용량혈액려과대감염성휴극환자예후적영향。방법선취해원2008년2월지2013년9월수치적80례감염성휴극환자，분위대조조화관찰조，2조균급여상규대증지지치료。관찰조우6 h내행조기고용량혈액려과치료，대조조우6 h후행고용량혈액려과치료。비교2조장기공능회복정황，APACHEⅡ평분、M ODS평분개선정황。결과치료24 h후관찰조환자각장기호전정도현저우우대조조。관찰조치료후 A-PACHEⅡ평분、MODS평분야현저우우대조조，차이균유통계학의의（P＜0．05）。결론조기고용량혈액려과대감염성휴극환자예후구유적겁적림상의의。
Objective To study the early high volume hemofiltration on the prognosis of patients with septic shock .Methods The patients from February 2008 to August 2013 were diagnosed with septic shock to start HVHF time interval is divided into control group and observation group .Two groups were given conventional support treat-ment and high volume hemofiltration treatment .Viscera function recovery ,APACHE Ⅱ score ,MODS score to im-prove the situation of two groups were compared .Results The treatment of patients with 24 hours each viscera de-gree improved significantly which in better than the those of control group .APACHE Ⅱ score ,MODS score of ob-servation group after treatment were significantly better than those control group ,the difference was statistically sig-nificant(P<0 .05) .Conclusion Early high volume hemofiltration can plays an active role in the prognosis of patients with septic shock .