CAJ | 학술논문

目的：比较一般监测方法和PiCCO监测下进行脓毒症早期液体复苏的效果。方法：将2010年3月-2013年12月笔者所在医院诊断为脓毒症的76例患者随机分为对照组和PiCCO监测组。对照组采用一般监测方法进行6h早期液体复苏，PiCCO监测组采用一般监测方法+PiCCO监测进行6 h早期液体复苏。结果：对照组6h早期液体复苏目标实现率80%，平均实现时间(5.52±2.01)h，而PiCCO监测组实现率100%，平均实现时间(3.12±1.13)h。两组比较，差异有统计学意义(P<0.05)。结论：PiCCO监测进行脓毒症早期液体复苏可以更快更有效地实现6h早期液体复苏目标，值得临床推广使用。
목적：비교일반감측방법화PiCCO감측하진행농독증조기액체복소적효과。방법：장2010년3월-2013년12월필자소재의원진단위농독증적76례환자수궤분위대조조화PiCCO감측조。대조조채용일반감측방법진행6h조기액체복소，PiCCO감측조채용일반감측방법+PiCCO감측진행6 h조기액체복소。결과：대조조6h조기액체복소목표실현솔80%，평균실현시간(5.52±2.01)h，이PiCCO감측조실현솔100%，평균실현시간(3.12±1.13)h。량조비교，차이유통계학의의(P<0.05)。결론：PiCCO감측진행농독증조기액체복소가이경쾌경유효지실현6h조기액체복소목표，치득림상추엄사용。
Objective:To compare the effect of early fluid resuscitation on general monitoring method and PiCCO monitoring sepsis.Method:76 cases with sepsis in our hospytal from March 2010 to December 2013 were randomly divided into control group and PiCCO monitor group.The control group was given general monitoring method for 6 h early fluid resuscitation,PiCCO monitor group was treated by general monitoring methods for 6 h+PiCCO monitor early fluid resuscitation.Result:The control group 6 h liquid recovery early completion rate was 80%,the average time was(5.52±2.01) hours,while the PiCCO monitor group implementation rate was 100%,the average time was (3.12±1.13) hours.There were significant difference (P<0.05).Conclusion:Sepsis PiCCO monitor early fluid resuscitation can more quickly and effectively achieve 6 h early fluid resuscitation,is worthy of clinical use.