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

作　　者：李元塔[1] 周广裕 莫俊德[1] 

机构地区：[1]广东省湛江中心人民医院内科ICU,广东湛江524037

出　　处：《沈阳医学院学报》2016年第4期265-266,共2页Journal of Shenyang Medical College

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。Objective：To analyze clinical application of intra？aortic balloon pump in the treatment of septic shock.Methods：A total of 62 patients with septic shock in our hospital were assigned into the control group and the observation group according to digital table method, with 31 cases in each group. Patients in the control group were treated with conventional antishock method and patients 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, heart rate and urine volume of the observation group were improved significantly compared with that in the control group （P〈0.05）.The overall 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 of septic shock, significantly improves the patient？？s blood pressure and heart rate, increases urine volume, causes less adverse events,and is safe and effective.

关 键 词：脓毒性休克 主动脉内球囊反搏术 临床效果 

分 类 号：R562.25[医药卫生—呼吸系统]