中国医药科学
中國醫藥科學
중국의약과학
CHINA MEDICINE AND PHARMACY
2014年
23期
14-16
,共3页
小儿%感染性休克%正规扩容%非正规扩容
小兒%感染性休剋%正規擴容%非正規擴容
소인%감염성휴극%정규확용%비정규확용
Pediatric%Septic shock%Standard diatation%Non-standard diatation
目的：观察小儿感染性休克行正规扩容法与非正规扩容法的疗效。方法资料选取本院2013年3月~2014年3月收治的小儿感染性休克患者共84例，随机分为研究组与对照组；研究组予非正规扩容法治疗，对照组予正规扩容法治疗；观察治疗前后两组血液中各相关指标水平及患儿健康状况与器官衰竭情况；观察患儿治疗相关指标情况。结果治疗后研究组血Na+浓度（125.43±10.67）mmol/L、Cl-浓度（98.31±10.02）mmol/L，均显著优于对照组，差异有统计学意义（P＜0.05）；研究组SOFA及APACHEⅡ评分均优于对照组，但差异无统计学意义（P＞0.05）；研究组病情稳定时间、住院时间均显著少于对照组，差异有统计学意义（P＜0.05）。结论小儿感染性休克行非正规扩容法能够有效改善患者的血液离子指标值，疗效显著。
目的：觀察小兒感染性休剋行正規擴容法與非正規擴容法的療效。方法資料選取本院2013年3月~2014年3月收治的小兒感染性休剋患者共84例，隨機分為研究組與對照組；研究組予非正規擴容法治療，對照組予正規擴容法治療；觀察治療前後兩組血液中各相關指標水平及患兒健康狀況與器官衰竭情況；觀察患兒治療相關指標情況。結果治療後研究組血Na+濃度（125.43±10.67）mmol/L、Cl-濃度（98.31±10.02）mmol/L，均顯著優于對照組，差異有統計學意義（P＜0.05）；研究組SOFA及APACHEⅡ評分均優于對照組，但差異無統計學意義（P＞0.05）；研究組病情穩定時間、住院時間均顯著少于對照組，差異有統計學意義（P＜0.05）。結論小兒感染性休剋行非正規擴容法能夠有效改善患者的血液離子指標值，療效顯著。
목적：관찰소인감염성휴극행정규확용법여비정규확용법적료효。방법자료선취본원2013년3월~2014년3월수치적소인감염성휴극환자공84례，수궤분위연구조여대조조；연구조여비정규확용법치료，대조조여정규확용법치료；관찰치료전후량조혈액중각상관지표수평급환인건강상황여기관쇠갈정황；관찰환인치료상관지표정황。결과치료후연구조혈Na+농도（125.43±10.67）mmol/L、Cl-농도（98.31±10.02）mmol/L，균현저우우대조조，차이유통계학의의（P＜0.05）；연구조SOFA급APACHEⅡ평분균우우대조조，단차이무통계학의의（P＞0.05）；연구조병정은정시간、주원시간균현저소우대조조，차이유통계학의의（P＜0.05）。결론소인감염성휴극행비정규확용법능구유효개선환자적혈액리자지표치，료효현저。
Objective To observe the curative effect of standard and non-standard diatation in the treatment of pediatric septic shock. Methods The clinical data were from 84 cases of children with septic shock in our hospital from March 2013 to March 2014, which were randomly divided into study group and control group. While the study group took non-standard diatation, the control group received standard diatation for treatment. The levels of relevant indexes in blood, children health and organ failure before and after treatment were observed, so were the relevant indicators. Results The concentration of Na+in blood of the study group after treatment was (125.43±10.67) mmol/L and the concentration of Cl-was (98.31±10.02) mmol/L, both significantly better than the control group and the comparative differences were statistically significant (P<0.05). SOFA and APACHEⅡscores of the study group were better than the control group, but the difference was not obvious, which had no statistical significance (P>0.05). Stability time and hospitalization time of the study group were significantly less than those of the control group,with statistically significant difference(P<0.05). Conclusion Non-standard diatation in the treatment of pediatric septic shock can effectively improve index values of blood ion, which is of significant curative effect.
