液体复苏法与扩容法治疗新生儿感染性休克的疗效比较  

Comparison of therapeutic effects of liquid resuscitation and dilatation on neonatal septic shock

作　　者：宋红丽[1] SONG Hong-li(Department of Neonatology,Pingyu County People's Hospital,Zhumadian,Henan 463400,China)

机构地区：[1]平舆县人民医院新生儿科,河南驻马店463400

出　　处：《青岛医药卫生》2020年第4期260-262,共3页Qingdao Medical Journal

摘　　要：目的探讨液体复苏法与扩容法治疗新生儿感染性休克的应用效果。方法选择2016年4月至2019年4月本院收治的80例感染性休克患儿,根据治疗方式不同分为对照组和观察组各40例。对照组采用扩容法,观察组采用液体复苏法,对比两组第1小时输液量、循环稳定时间、住院时间及并发症发生率、病死率情况。结果观察组第1小时输液量高于对照组,循环稳定时间及住院时间均短于对照组,并发症发生率低于对照组,病死率低于对照组,差异均有统计学意义(P<0.05)。结论液体复苏法与扩容法均可有效治疗感染性休克患儿,但相比而言,液体复苏法可使感染性休克患儿快速达到循环稳定状态,并发症较少,缩短住院时间,降低病死率,值得临床推广。Objective To explore the effect of liquid resuscitation and dilatation in the treatment of neonatal septic shock. Methods A total of 80 children with septic shock who were treated in our hospital from April 2016 to April 2019 were chosen. According to the different treatment methods, they were divided into control group(dilatation method, 40 cases) and observation group(liquid resuscitation method, 40 cases). The infusion volume, circulation stability time, hospitalization time, complication rate and fatality rate of the two groups in the first hour were compared. Results The infusion volume in the first hour of the observation group was higher than that in the control group, while the circulation stability time and hospitalization time in the observation group were shorter than those in the control group, the incidence of complications in the observation group was lower than that in the control group, the mortality in the observation group was lower than that in the control group, with statistically significant difference(P<0.05). Conclusion Liquid resuscitation and dilatation can effectively treat children with septic shock, but compared with dilatation, liquid resuscitation can quickly make children with septic shock reach a stable state of circulation, with fewer complications, shorten the length of stay and reduce the mortality, which is worthy of clinical application.

关 键 词：感染性休克 新生儿休克 液体复苏法 扩容法 

分 类 号：R722.13[医药卫生—儿科]