乳酸清除率评价感染性休克预后的临床分析  

Clinical Analysis of Evaluating Septic Shock Prognosis by Lactate Clearance Rate

作　　者：宋克义[1] 邓芳[1] 王海涛[1] 

机构地区：[1]亳州市人民医院,安徽236800

出　　处：《安徽卫生职业技术学院学报》2011年第5期82-83,共2页Journal of Anhui Health Vocational & Technical College

摘　　要：目的:回顾性研究乳酸清除率与感染性休克患者预后的相关性。方法:对某医院收住ICU的成年感染性休克患者共40例,对纳入患者经积极的治疗,测定患者入ICU时(0h)、入ICU后6h、24h血乳酸值,计算6h、24h乳酸清除率,比较两组患者的入院时乳酸水平及6h、24h乳酸清除率、APACHEⅡ评分和预后的关系。结果:40例患者其中男性24例,女性16例,平均年龄(51.0±19.8)岁;平均APACHEⅡ评分13.5±8.5,血乳酸(9.62±1.99)mmol/L;死亡组血乳酸水平明显高于存活组;存活组乳酸清除率明显高于死亡组(P<0.01)。结论:乳酸清除率可用于早期评估感染性休克患者的预后转归。Objective： retrospective study of correlation between lactate clearance rate and septic shock prognosis.Method： 40 adults septic shock patients received in ICU were treated positively.Lactate levels upon reaching ICU（0h）,6h,and 24h were detected,lactate clrearance rates were calculated,and lactate levels at 0h and lactate clearance rates at 6h and 24h,APACHE II and prognosis of the two groups were compared.Result： Among 40 patients,24 were male,16 were female,average age（51.0±19.8）,APACHE 13.5±8.5,lactate level（9.62±1.99）mmol/L;lactate level of death group is significantly higher than that of survival group;lactate clearance rate of the survival group is evidently higher than that of death group（P0.01）.Conclusion：Lactate clearance rate can be used for early evaluation of prognosis of septic shock.

关 键 词：乳酸 乳酸清除率 重症医学科 感染性休克 预后 

分 类 号：R441.9[医药卫生—诊断学]