感染性休克患者临床脉压水平与预后的相关性研究  

Correlation of clinical septic shock pulse pressure and prognosis

作　　者：梁昌强[1] 喻安永[1] 骆付丽 吴辽章 何小丽[1] 蒋璐[1] 

机构地区：[1]遵义医学院附属医院急诊科,贵州遵义563003

出　　处：《中华医院感染学杂志》2016年第19期4419-4421,共3页Chinese Journal of Nosocomiology

基　　金：贵州省卫生厅科技技术项目基金资助项目(20142183)

摘　　要：目的探讨临床脉压水平对急诊重症监护病房(EICU)感染性休克患者预后的影响,从而为临床治疗提供依据。方法选择2013年1月-2015年12月医院EICU接受治疗的感染性休克患者120例,根据治疗结局分为生存组72例和死亡组48例,监测两组患者平均动脉压(MAP)和危重症APACHEⅢ评分,数据采用SPSS19.0统计软件进行分析。结果生存组患者平均动脉压和APACHEⅢ评分,分别为(75.02±6.42)mmHg和(54.63±6.73)分,与死亡组(61.53±6.34)mmHg和(92.53±8.03)分比较,差异有统计学意义(P<0.05);生存组患者随着入院时间的延长平均动脉压逐渐上升,而死亡组患者随着入院时间的延长平均动脉压逐渐下降,差异有统计学意义(P<0.05);随着平均动脉压的下降,APACHEⅢ评分呈上升趋势,差异有统计学意义(P<0.05)。结论感染性休克患者平均动脉压与感染性休克严重程度呈正相关,可在一定程度上反映患者预后,临床上可根据脉压预测预后结果。OBJECTIVE To investigate the effects of clinical pulse pressure on prognosis of emergency ICU septic shock patients,so as to provide the basis for clinical treatment.METHODS A total of 120 patients with septic shock in EICU of hospital from Jan.2013 to Dec.2015 were selected,and divided into survival group（72cases）and death group（48cases）according to the outcome of treatment.Patients were monitored mean arterial pressure（MAP）and the critically ill APACHEⅢscore.The data were analyzed by SPSS 19.0.RESULTS The mean arterial pressure and APACHEⅢ score of survival group were（75.02±6.42）mmHg and（54.63±6.73）points,which were respectively（61.53±6.34）mmHg and（92.53±8.03）points in the death group（P〈0.05）.The arterial pressure of survival group was increased with the increasing of length of stay in hospital,while the arterial pressure was decreased of death group（P〈0.05）.With the decline of mean arterial pressure,APACHEⅢ rates rose,and the difference was significant（P〈0.05）.CONCLUSIONThe mean arterial pressure and septic shock severity in patients with septic shock is positively correlated,it may reflect the prognosis of patients to some extent,so clinical prognosis can be predicted according to pulse pressure.

关 键 词：感染性休克 脉压水平 预后 相关性 

分 类 号：R631.4[医药卫生—外科学]