论文部分内容阅读
目的观察和分析连续性血液净化治疗烧伤脓毒症的临床效果。方法选择2012年5月—2015年5月收诊的烧伤脓毒症患者80例作为研究对象,随机分成对照组和研究组各40例。对照组患者采用常规疗法进行治疗,研究组在常规疗法的基础上加用连续性血液净化进行治疗。观察和对比两组患者治疗前后Pa O2/Fi O2、MAP、LAC、Cr、APACHEⅡ水平变化情况,住院时间及患儿病死情况。计量资料组间比较采用t检验,组内比较采用配对t检验,计数资料采用χ2检验,P<0.05为差异有统计学意义。结果研究组患者治疗后Pa O2/Fi O2、MAP、LAC、Cr、APACHEⅡ水平为(111.34±11.93)、(84.85±4.92)mm Hg(1 mm Hg=0.133 k Pa)、(2.43±1.15)mmol/L、(114.35±23.61)μmol/L、(8.35±3.71)分,均明显优于治疗前的(94.43±14.01)、(56.67±5.34)mm Hg、(6.62±3.34)mmol/L、(229.67±22.83)μmol/L、(19.57±5.62)分,差异均有统计学意义(均P<0.05)。治疗后,研究组Pa O2/Fi O2、MAP、LAC、Cr、APACHEⅡ水平与对照组[(99.23±15.67)、(63.75±5.72)mm Hg、(4.45±2.72)mmol/L、(239.32±33.84)μmol/L、(13.82±3.62)分]比较差异均有统计学意义(均P<0.05)。研究组患者住院时间和病死率分别为(32.76±14.01)d、12.5%,均明显低于对照组的(67.21±9.01)d、52.5%,差异均有统计学意义(均P<0.05)。结论对烧伤脓毒症患者采用连续性血液净化治疗具有良好的临床疗效,值得推广应用。
Objective To observe and analyze the clinical effect of continuous blood purification on burn sepsis. Methods Eighty patients with burn sepsis admitted from May 2012 to May 2015 were randomly divided into control group and study group (n = 40). Patients in the control group were treated by conventional therapy. The study group was treated with continuous blood purification based on the conventional therapy. The changes of PaO2 / FiO2, MAP, LAC, Cr and APACHEII levels before and after treatment in both groups were observed and compared. The duration of hospitalization and the morbidity of children were observed. Measurement data were compared between groups using t test, the group was compared using paired t test, count data using χ2 test, P <0.05 for the difference was statistically significant. Results The PaO2 / FiO2, MAP, LAC, Cr and APACHEⅡ levels in the study group were (111.34 ± 11.93) and (84.85 ± 4.92) mm Hg (1 mm Hg = 0.133 kPa and 2.43 ± 1.15 mmol (94.43 ± 14.01), (56.67 ± 5.34) mm Hg, (6.62 ± 3.34) mmol / L, ((4.42 ± 3.34) mmol / L, 229.67 ± 22.83) μmol / L and (19.57 ± 5.62) respectively, the difference was statistically significant (all P <0.05). After treatment, the levels of Pa O2 / Fi O2, MAP, LAC, Cr and APACHEII in the study group were significantly higher than those in the control group [(99.23 ± 15.67), (63.75 ± 5.72) mm Hg, (4.45 ± 2.72) mmol / L, (239.32 ± 33.84 ) μmol / L, (13.82 ± 3.62) points respectively) (all P <0.05). The hospitalization time and case fatality rate in the study group were (32.76 ± 14.01) days and 12.5%, respectively, which were significantly lower than those in the control group (67.21 ± 9.01) days and 52.5% (all P <0.05). Conclusion Continuous blood purification in burn sepsis patients has good clinical efficacy, which is worth popularizing and applying.