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集束化治疗对脓毒性休克患者预后的影响
【摘要】 目的:探讨集束化治疗对脓毒性休克患者中预后的影响。方法:选择2010年3月-2015年3月我院连续收治严重脓毒性休克患80例,根据是否进行集束化治疗,将患者分为集束化治疗组与非集束化治疗组,比较两组患者治疗24h后APACHE-Ⅱ评分、SOFA评分及ICU住院天数、28d病死率。结果:集束化治疗组患者24h后APACHE-II评分、SOFA评分、ICU住院天数、28d病死率均显著低于非集束化治疗组患者,差异有统计学意义(P<0.05)。结论:早期集束化治疗感染性休克可有效提高脓毒性休克患者的抢救成功率,降低病死率,应不断提高临床实施的依从性。
【Abstract】 Objective:To explore the effect of early bundle therapy in patients with septic shock.Methods:Collect 80 cases of septic shock patients in our hospital from March 2010 to March 2015,According to whether the treatment of cluster,divided them into bundle treatment group and the traditional treatment group,compared APACHE-Ⅱscore,SOFA score,length of stay in ICU and 28 d case fatality rate of patients in two groups with after 24 h.Results:After 24 h APACHE-Ⅱscore,SOFA score,length of stay in ICU and 28 d case fatality rate of patients in bundle treatment group were significantly lower than traditional treatment group,the differences were statistically significant(P<0.05).Conclusion:bundle therapy can effectively improve septic shock patients rescue success rate,reduce the case fatality rate, so compliance of clinical implementation should be constantly improved.
- 【文献出处】 中国妇幼健康研究 ,Chinese Journal of Woman and Child Health Research , 编辑部邮箱 ,2016年S1期
- 【分类号】R459.7
- 【下载频次】44