论文部分内容阅读
目的:对连续性血液净化在儿童严重脓毒症中的治疗效果进行分析。方法:选择我院2012年5月-2014年5月间54例严重脓毒症患儿,将所有患儿分为两组,每组27例,实验组患儿采用连续性血液净化治疗,对照组患儿采用常规方式进行治疗,对两组患儿的治疗效果进行比较。结果:实验组患儿治疗效果显著的11例,治疗有效的15例,治疗无效的1例,总有效率为96.3%;对照组患儿治疗效果显著的6例,治疗有效的11例,治疗无效的10例,总有效率为62.9%,两组比较P<0.05。实验组患儿的氧气分压、动脉压、血乳酸水平、学肌酐水平明显好于对照组,两组比较P<0.05。结论:采用连续血液净化治疗能够有效改善脓毒症患儿的血流动力学,提升患儿的救治率。
Objective: To analyze the therapeutic effect of continuous blood purification in severe sepsis in children. Methods: Fifty-four children with severe sepsis were selected from May 2012 to May 2014 in our hospital. All children were divided into two groups (n = 27 in each group). The children in the experimental group were treated with continuous blood purification, The children in the group were treated by the conventional way, and the treatment effect of the two groups was compared. Results: In the experimental group, there were 11 cases in which the treatment effect was significant, 15 cases were effective, 1 case was ineffective, and the total effective rate was 96.3%. Six cases in the control group had significant therapeutic effect, 11 cases were effective, Invalid in 10 cases, the total effective rate was 62.9%, P <0.05. The oxygen partial pressure, arterial pressure, blood lactate level and creatinine level in experimental group were significantly better than those in control group, P <0.05. Conclusion: Continuous blood purification can effectively improve hemodynamics in children with sepsis and improve the treatment rate in children.