小儿感染性休克使用不同液体治疗的效果分析  

Analysis of the effect of different fluids in the treatment of septic shock in children

作　　者：朱莉 Zhu li(Department of Children's Emergency and Critical Care,North Branch,the First People's Hospital of Chenzhou City,Hunan Chenzhou 423000)

机构地区：[1]郴州市第一人民医院北院儿童急危重科,湖南郴州423000

出　　处：《中国社区医师》2021年第18期81-82,共2页Chinese Community Doctors

摘　　要：目的:探究不同液体治疗小儿感染性休克的临床效果。方法:2016年9月-2020年9月收治小儿感染性休克患者60例,随机分为两组。研究组使用液体复苏法治疗;对照组使用传统扩容法治疗。比较两组治疗效果。结果:研究组第1小时输液量、循环稳定时间、达到治疗目标时间及住院时间均低于对照组,差异有统计学意义(P<0.05);研究组肺水肿发生率与死亡率明显低于对照组,差异有统计学意义(P<0.05)。结论:相较于传统扩容法,使用液体复苏法治疗小儿感染性休克,患儿肺水肿发生率与死亡率均显著降低,可缩短患儿的治疗时间,加快痊愈进程,提高患儿生活质量,促进预后。Objective:To explore the clinical effect of different liquids in the treatment of septic shock in children.Methods:From September 2016 to September 2020,60 cases of children with septic shock were enrolled,they were randomly divided into two groups.The study group was treated with fluid resuscitation.The control group was treated with traditional volume expansion.The therapeutic effects between the two groups was compared.Results:The infusion volume of first hour,circulation stabilization time,target time and lengths of hospital stay of the study group were lower than those of the control group,the differences were statistically significant(P<0.05).The incidence of pulmonary edema and mortality rate in the study group were significantly lower than those in the control group,the differences were statistically significant(P<0.05).Conclusion:Compared with traditional volume expansion therapy,the use of fluid resuscitation to treat septic shock in children can significantly reduce the incidence and mortality of children with pulmonary edema.It can shorten the treatment time,accelerate the recovery process of children,improve the quality of life of them and promote the prognosis.

关 键 词：小儿感染性休克 不同液体治疗 液体复苏法 传统扩容法 

分 类 号：R720.597[医药卫生—急诊医学]