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目的:研究连续血液净化治疗烧伤脓毒症的临床疗效及安全性。方法:选取我院收治的烧伤脓毒症患者110例,随机分成观察组(n=50)和对照组(n=60)。对照组采取常规治疗,观察组采取持续性血液净化治疗。观察并比较两组患者治疗前后PaO_2,WBC,GLU,Na,BUN,Cr,TNF-α及IL-8水平变化、临床疗效及安全性。结果:与治疗前相比,观察组患者治疗后PaO_2,WBC,GLU,Na,BUN,Cr,TNF-α及IL-8水平均改善,且优于对照组,差异具有统计学意义(P<0.05)。观察组呼吸机使用时间和ICU住院时间均短于对照组,差异具有统计学意义(P<0.05)。观察组28 d内死亡率(12.00%)低于对照组(40.00%),差异具有统计学意义(P<0.05)。结论:持续性血液净化治疗是烧伤脓毒症治疗的安全有效方式,可改善患者各项指标,缩短呼吸机使用以及住院时间,降低患者短时间内病死率,十分具有临床价值。
Objective: To study the clinical efficacy and safety of continuous blood purification in the treatment of burn sepsis. Methods: A total of 110 patients with burn sepsis admitted to our hospital were randomly divided into observation group (n = 50) and control group (n = 60). Control group to take conventional treatment, observation group to take continuous blood purification treatment. The changes of PaO_2, WBC, GLU, Na, BUN, Cr, TNF-α and IL-8 levels before and after treatment in both groups were observed and compared. The clinical efficacy and safety were observed. Results: The levels of PaO2, WBC, GLU, Na, BUN, Cr, TNF-α and IL-8 in the observation group were significantly improved after treatment compared with that before treatment, and the difference was statistically significant (P < 0.05). The use of ventilator in the observation group and hospital stay were shorter than the control group, the difference was statistically significant (P <0.05). The 28-day mortality rate (12.00%) in the observation group was lower than that in the control group (40.00%), the difference was statistically significant (P <0.05). Conclusion: Continuous blood purification is a safe and effective way to treat burn sepsis. It can improve various indexes of patients, shorten the use of ventilator and hospitalization time, and reduce the mortality of patients in a short period of time. It is of great clinical value.