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主动脉内球囊反搏术在脓毒性休克中的临床应用

Clinical Application of Intra-aortic Balloon Pump in Septic Shock

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【作者】 李元塔周广裕莫俊德

【Author】 LI Yuanta;ZHOU Guangyu;MO Junde;Department of Internal Medicine ICU,Zhanjiang Central Hospital;

【机构】 广东省湛江中心人民医院内科ICU

【摘要】 目的:分析主动脉内球囊反搏术在脓毒性休克中的临床应用。方法:选取本院收治的62例脓毒性休克患者并按随机数字表法分为对照组和观察组,各31例患者。对照组患者采用脓毒症指南规范抗休克方法治疗,观察组患者在规范抗休克基础加用主动脉内球囊反搏术治疗。对比2组患者治疗后血压、心率、尿量的变化,及不良事件的发生情况。结果:观察组治疗后血压、心率、尿量改善明显优于对照组(P<0.05);观察组治疗后不良事件的总发生率(16.13%)明显低于对照组(45.16%)(P<0.05)。结论:脓毒性休克的患者采用主动脉内球囊反搏术的临床效果显著,明显改善了患者的血压、心率,使尿量增加,且不良事件发生少,安全有效。

【Abstract】 Objective:To analyze clinical application of intra-aortic balloon pump in the treatment of septic shock.Methods:Atotal of 62 patients with septic shock in our hospital were assigned into the control group and the observation group according to digitaltable method, with 31 cases in each group. Patients in the control group were treated with conventional antishock method andpatients in the observation group were given intra-aortic balloon pump therapy based on the treatment.Blood pressure, heart rate,urine volume and adverse event in the two groups were compared after treatment.Results:After treatment,blood pressure, heartrate and urine volume of the observation group were improved significantly compared with that in the control group(P<0.05).Theoverall incidence of adverse events in the observation group(16.13%) was significantly lower than that in the control group(45.16%) after treatment(P<0.05).Conclusion:Intra-aortic balloon pump therapy exerts obvious effect in the treatment ofseptic shock, significantly improves the patient s blood pressure and heart rate, increases urine volume, causes less adverseevents,and is safe and effective.

  • 【文献出处】 沈阳医学院学报 ,Journal of Shenyang Medical College , 编辑部邮箱 ,2016年04期
  • 【分类号】R459.7
  • 【被引频次】2
  • 【下载频次】20
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