發(fā)布時(shí)間：2018-11-18 16:33

【摘要】：目的研究集束化治療依從率對膿毒血癥休克患者的療效及預(yù)后情況,為臨床治療提供參考依據(jù)。方法分析2013年1月-2014年6月于醫(yī)院接受治療的78例膿毒血癥休克患者的臨床資料,將42例接受集束化治療的患者列為觀察組,把36例采用常規(guī)治療的膿毒血癥休克患者納為對照組;觀察兩組患者依從性和相關(guān)預(yù)后指標(biāo)。結(jié)果 78例膿毒血癥休克患者感染病原菌主要以革蘭陰性菌感染為主,占70.51%;觀察組患者6h、24h時(shí)的平均動(dòng)脈壓(MAP)、中心靜脈壓(CVP)、中心靜脈血氧飽和度(ScvO_2)、動(dòng)脈血乳酸水平高于對照組,差異有統(tǒng)計(jì)學(xué)意義(P0.05);治療后,觀察組患者的住院時(shí)間、急性生理與慢性健康(APACHE Ⅱ)評(píng)分、序貫器官衰竭估計(jì)(SOFA)評(píng)分顯著低于對照組,差異有統(tǒng)計(jì)學(xué)意義(P0.05);集束化治療依從組患者的28d生存率顯著高于常規(guī)治療依從組患者,差異有統(tǒng)計(jì)學(xué)意義(P0.05)。結(jié)論提高醫(yī)務(wù)人員對于膿毒血癥休克治療的依從性可以有效改善患者血液循環(huán)功能,降低患者的病死率,對于膿毒血癥休克早期的治療具有良好的臨床實(shí)用價(jià)值。
[Abstract]:Objective to study the effect and prognosis of cluster therapy compliance rate in patients with sepsis shock and to provide reference for clinical treatment. Methods the clinical data of 78 patients with sepsis shock treated in hospital from January 2013 to June 2014 were analyzed. 42 patients who received cluster therapy were included as observation group. 36 patients with sepsis shock who were treated with routine therapy were included as control group. Compliance and prognostic indexes were observed in both groups. Results the main pathogens of 78 septic shock patients were Gram-negative bacteria (70.51%). The mean arterial pressure (MAP),) central venous pressure (CVP),) central venous oxygen saturation (ScvO_2) and arterial lactate level were significantly higher in the observation group than in the control group at 6 h or 24 h (P0.05). After treatment, the hospitalization time, acute physiological and chronic health (APACHE 鈪，

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