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作 者:马盼盼 丁磊 魏伟[2] 孔令贵[1] Ma Panpan;Ding Lei;Wei Wei;Kong Linggui(Department of Critical Care Medicine,Binzhou Central Hospital,Binzhou 251700,Shandong Province,China;Department of Ultrasound Medicine,Binzhou Central Hospital,Binzhou 251700,Shandong Province,China)
机构地区:[1]滨州市中心医院重症医学科,山东滨州251700 [2]滨州市中心医院超声医学科,山东滨州251700
出 处:《中国社区医师》2024年第29期42-44,共3页Chinese Community Doctors
摘 要:目的:分析床旁超声指导早期液体复苏治疗脓毒性休克的临床效果。方法:选择2020年1月—2022年11月滨州市中心医院重症医学科收治的脓毒性休克患者80例作为研究对象,按照随机数字表法分为两组,每组40例。对照组给予目标导向液体复苏治疗,观察组给予床旁超声指导早期液体复苏治疗。比较两组治疗效果。结果:治疗后,观察组机械通气时间、ICU住院时间短于对照组,液体复苏量少于对照组,降钙素原、C反应蛋白水平低于对照组,平均动脉压、中心静脉压、中心静脉血氧饱和度高于对照组(P<0.05)。治疗后,两组序贯器官衰竭评估法评分降低,且观察组低于对照组(P<0.05)。结论:床旁超声指导早期液体复苏治疗脓毒性休克的临床效果较好,可减少液体复苏量,减轻炎性反应,改善血流动力学指标及器官功能,促进患者康复。Objective:To analyze the clinical effect of bedside ultrasound guided early fluid resuscitation in the treatment of septic shock.Methods:A total of 80 patients with septic shock admitted to Department of Critical Care Medicine at Binzhou Central Hospital from January 2020 to November 2022 were selected as the study subjects.They were divided into two groups according to random number table method,with 40 patients in each group.The control group received goal-targeted fluid resuscitation treatment,while the observation group received bedside ultrasound guided early fluid resuscitation treatment.The treatment effects were compared between the two groups.Results:After treatment,the duration of mechanical ventilation and ICU stay in the observation group were shorter than those in the control group,the fluid resuscitation volume in the observation group was less than that in the control group,the levels of procalcitonin and C-reactive protein in the observation group were lower than those in the control group,and the mean arterial pressure,central venous pressure and central venous oxygen saturation in the observation group were higher than those in the control group(P<0.05).After treatment,the sequential organ failure assessment scores in the two groups decreased,and the scores in the observation group were lower than those in the control group(P<0.05).Conclusion:Bedside ultrasound guided early fluid resuscitation has a good clinical effect in the treatment of septic shock,and can reduce the fluid resuscitation volume,relieve inflammatory reaction,improve hemodynamic indexes and organ function,and promote the recovery of patients.
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