世界最新医学信息文摘(连续型电子期刊)
世界最新醫學信息文摘(連續型電子期刊)
세계최신의학신식문적(련속형전자기간)
World Latest Medicine Information
2014年
34期
45-45,47
,共2页
陈华%刘宏%徐华峰%宁易平
陳華%劉宏%徐華峰%寧易平
진화%류굉%서화봉%저역평
持续高容量血液滤过%血液灌流%严重脓毒症
持續高容量血液濾過%血液灌流%嚴重膿毒癥
지속고용량혈액려과%혈액관류%엄중농독증
continuous high volume hemofiltration%hemoperfusion%severe sepsis
目的:了解严重脓毒症患者接受早期持续高容量血液滤过(cHVHf)联合血液灌流(HP)方案治疗的临床效果。方法随机抽取本院2011年至2013年收治应用 cHVHf 联合 HP 治疗的严重脓毒症患者50例,设为观察组,另随机选取本院同期收治单纯接受 cHVHf 治疗的严重脓毒症患者50例,设为对照组。在结束治疗后对比2组患者各项临床指标。结果所有患者均顺利完成治疗,相对于治疗前,2组患者血浆内肿瘤坏死因子α(tMf-α)均有所改善,差异具有统计学意义(P <0.05),观察组患者改善水平优于对照组,差异有统计学意义(P <0.05);观察组患者血流动力学指标改善情况显著优于对照组,差异有统计学意义(P <0.05)。结论对严重脓毒症患者早期应用持续高容量血液滤过联合血液灌洗方案治疗能够收到较为满意的临床效果,显著提升患者存活率和改善其血流动力学指数,临床应用价值高,值得普及推广。
目的:瞭解嚴重膿毒癥患者接受早期持續高容量血液濾過(cHVHf)聯閤血液灌流(HP)方案治療的臨床效果。方法隨機抽取本院2011年至2013年收治應用 cHVHf 聯閤 HP 治療的嚴重膿毒癥患者50例,設為觀察組,另隨機選取本院同期收治單純接受 cHVHf 治療的嚴重膿毒癥患者50例,設為對照組。在結束治療後對比2組患者各項臨床指標。結果所有患者均順利完成治療,相對于治療前,2組患者血漿內腫瘤壞死因子α(tMf-α)均有所改善,差異具有統計學意義(P <0.05),觀察組患者改善水平優于對照組,差異有統計學意義(P <0.05);觀察組患者血流動力學指標改善情況顯著優于對照組,差異有統計學意義(P <0.05)。結論對嚴重膿毒癥患者早期應用持續高容量血液濾過聯閤血液灌洗方案治療能夠收到較為滿意的臨床效果,顯著提升患者存活率和改善其血流動力學指數,臨床應用價值高,值得普及推廣。
목적:료해엄중농독증환자접수조기지속고용량혈액려과(cHVHf)연합혈액관류(HP)방안치료적림상효과。방법수궤추취본원2011년지2013년수치응용 cHVHf 연합 HP 치료적엄중농독증환자50례,설위관찰조,령수궤선취본원동기수치단순접수 cHVHf 치료적엄중농독증환자50례,설위대조조。재결속치료후대비2조환자각항림상지표。결과소유환자균순리완성치료,상대우치료전,2조환자혈장내종류배사인자α(tMf-α)균유소개선,차이구유통계학의의(P <0.05),관찰조환자개선수평우우대조조,차이유통계학의의(P <0.05);관찰조환자혈류동역학지표개선정황현저우우대조조,차이유통계학의의(P <0.05)。결론대엄중농독증환자조기응용지속고용량혈액려과연합혈액관세방안치료능구수도교위만의적림상효과,현저제승환자존활솔화개선기혈류동역학지수,림상응용개치고,치득보급추엄。
Objective to understand the severe sepsis patients receiving early continuous high volume hemofiltration (cHVHf) combined hemoperfusion (HP) in the treatment of clinical effect. Methods Patients with severe sepsis were randomly selected hospital in 2011 and 2013 combined HP admitted application cHVHf treated 50 cases, set the observation group, earlier admitted to another hospital were randomly selected simply accept cHVHf treated 50 patients with severe sepsis , set in the control group. in contrast to the two groups after the end of treatment in patients with various clinical indicators. Results All patients were successfully treated with respect to the pre-treatment, two patients plasma tumor necrosis factor-α (TMF-α) were improved, the difference was statistically significant (P <0.05), improvement in the level of the observation group were superior in the control group, the difference was statistically significant (P <0.05); hemodynamic improvement in patients in the observation group was significantly better than the control group, the difference was statistically significant (P <0.05). Conclusion Severe sepsis early application of continuous high volume hemofiltration combined with blood lavage regimen that patients can receive satisfactory clinical results, significantly improve patient survival and improve its hemodynamic indices, high clinical value, worth popularization.