中国医学创新
中國醫學創新
중국의학창신
MEDICAL INNOVATION OF CHINA
2015年
10期
4-6
,共3页
血液净化%烧伤脓毒症%治疗效果
血液淨化%燒傷膿毒癥%治療效果
혈액정화%소상농독증%치료효과
Blood Purification%Burn sepsis%Treatment
目的：观察血液净化对烧伤脓毒症患者的临床治疗效果，探讨对血液净化的有效性与安全性。方法：随机抽取本院2013年10月-2014年10月入院接受治疗的50例重度烧伤脓毒症患者，将50例患者分成治疗组和观察组，治疗组25例患者使用血液净化治疗，观察组25例患者使用临床常规治疗，比较两组患者的生命体征与临床疗效。结果：治疗组患者的转归与预后情况相比观察组，效果良好，差异具有统计学意义（P<0.05）。两组患者治疗后的血清水平相比治疗前均有一定程度的降低，但是观察组降低程度相比治疗前差异不存在统计学意义，治疗组治疗后的降低水平相比治疗前有明显降低，比较差异具有统计学意义（P<0.05）。治疗组效果优于观察组。结论：血液净化技术对改善脏器功能方面有良好作用，且其能够改善患者的血流动力学指标，降低因为烧伤而并发的脓毒症病情严重程度，因此能够实现改善烧伤脓毒症患者的不良应激反应，属于一项有效的治疗手段，临床治疗过程中此项方式可大力推广。
目的：觀察血液淨化對燒傷膿毒癥患者的臨床治療效果，探討對血液淨化的有效性與安全性。方法：隨機抽取本院2013年10月-2014年10月入院接受治療的50例重度燒傷膿毒癥患者，將50例患者分成治療組和觀察組，治療組25例患者使用血液淨化治療，觀察組25例患者使用臨床常規治療，比較兩組患者的生命體徵與臨床療效。結果：治療組患者的轉歸與預後情況相比觀察組，效果良好，差異具有統計學意義（P<0.05）。兩組患者治療後的血清水平相比治療前均有一定程度的降低，但是觀察組降低程度相比治療前差異不存在統計學意義，治療組治療後的降低水平相比治療前有明顯降低，比較差異具有統計學意義（P<0.05）。治療組效果優于觀察組。結論：血液淨化技術對改善髒器功能方麵有良好作用，且其能夠改善患者的血流動力學指標，降低因為燒傷而併髮的膿毒癥病情嚴重程度，因此能夠實現改善燒傷膿毒癥患者的不良應激反應，屬于一項有效的治療手段，臨床治療過程中此項方式可大力推廣。
목적：관찰혈액정화대소상농독증환자적림상치료효과，탐토대혈액정화적유효성여안전성。방법：수궤추취본원2013년10월-2014년10월입원접수치료적50례중도소상농독증환자，장50례환자분성치료조화관찰조，치료조25례환자사용혈액정화치료，관찰조25례환자사용림상상규치료，비교량조환자적생명체정여림상료효。결과：치료조환자적전귀여예후정황상비관찰조，효과량호，차이구유통계학의의（P<0.05）。량조환자치료후적혈청수평상비치료전균유일정정도적강저，단시관찰조강저정도상비치료전차이불존재통계학의의，치료조치료후적강저수평상비치료전유명현강저，비교차이구유통계학의의（P<0.05）。치료조효과우우관찰조。결론：혈액정화기술대개선장기공능방면유량호작용，차기능구개선환자적혈류동역학지표，강저인위소상이병발적농독증병정엄중정도，인차능구실현개선소상농독증환자적불량응격반응，속우일항유효적치료수단，림상치료과정중차항방식가대력추엄。
Objective:To observe blood purification treatment of burn patients with sepsis, make a brief discussion of blood purification of efficacy and safety.Method:To select 50 hospitalized patients with severe sepsis burn in our hospital from October 2013 to October 2014, they were randomly divided into treatment group and observation group. The treatment group was treated with blood purification therapy, while the observer group was treated with routine clinical treatment.To compare vital signs and clinical efficacy of the two groups.Result:Comparing outcome and prognosis of the treatment group with the observation group, the former showed good effect, the difference was statistically significant (P<0.05).Serum levels of the two groups after treatment were compared to those before treatment, the result turned out to be a certain degree of reduction, but the observation group showed minimized statistically significant compared to the previous treatment.The reduced level of post-treatment group was significantly lower compared to pre-treatment, the difference was statistically significant (P<0.05).Comparison between the two groups, the effect of the treatment group was better than that of the observation group, the difference was statistically significant (P<0.05).Conclusion:Blood purification technology to improve organ function has a good effect.And it can improve the hemodynamics of burn patients, reducing as complicated with sepsis severity, therefore it can achieve improvements of burn patients with sepsis adverse stress reaction, which belongs to an effective treatment.The clinical course of treatment of this method can be popularized.
