早期高容量血液滤过对感染性休克患者预后的影响

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摘要 摘要目的观察早期高容量血液滤过(HVHF)对临床感染性休克患者预后的影响。方法根据接受HVHF治疗时间将我院于2013年3月~2014年7月收治的72例感染性休克患者分为甲(36例,确诊6h内接受早期HVHF治疗)、乙(36例,确诊6h后接受HVHF治疗)两组,观察两组治疗效果。结果两组患者经治疗后,各器官功能均有较好的改善,但甲组的APACHEII评分与MODS评分均优于乙组,且差异有统计学意义(P<0.05);甲乙两组28d病死率分别为30.56%、55.56%,组间比较,差异显著(P<0.05)。结论针对感染性休克患者,给予其早期HVHF治疗,可明显改善患者各器官功能,降低患者病死率,改善患者预后。
出处 《健康必读》 2015年7期
关键词 HVHF 感染性休克 预后Theeffectofearlyhighvolumehemofiltration(HVHF)ontheprognosisofpatientswithsepticshockWu.Songlin,Li.Yuan,Gan.Cihai(DepartmentofICU,TheFirstAffiliatedHospitalofSichuanMedicalUniversity,Luzhou646000,China)AbstractObjectiveToexplorertheeffectofearlyhighvolumehemofiltration(HVHF)ontheprognosisofpatientswithsepticshock.Methods72patientswithsepticshockinourhospitalduringMarch2013toJuly2014wererandomlydividedintothegroupAandthegroupB,with36caseseachgroup.ThegroupAwastreatedbyHVHFwithin6hoursafterthediagnosis,andthegroupBwasgivenbyHVHF,6hoursafterthediagnosis.Andthensomeindiceswerecomparedbetweenthetwogroups.ResultsAfterthetreatment,functionsofvisceraofpatientswerebetterthanbefore.ThescoreofAPACHEIIandthescoreofMODSinthegroupAweresignificantlylowerthanthatofthegroupB.Themortalityratewas30.56% and55.56%,respectivelyinthegroupAandinthegroupB.Therewasasignificantdifferencebetweentwogroups(P<0.05).ConclusionTheearlyhighvolumehemofiltrationcouldimprovethefunctionsofvisceraofpatientswit
出版日期 2015年07月17日(中国期刊网平台首次上网日期,不代表论文的发表时间)
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健康必读

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HVHF 感染性休克 预后Theeffectofearlyhighvolumehemofiltration(HVHF)ontheprognosisofpatientswithsepticshockWu.Songlin,Li.Yuan,Gan.Cihai(DepartmentofICU,TheFirstAffiliatedHospitalofSichuanMedicalUniversity,Luzhou646000,China)AbstractObjectiveToexplorertheeffectofearlyhighvolumehemofiltration(HVHF)ontheprognosisofpatientswithsepticshock.Methods72patientswithsepticshockinourhospitalduringMarch2013toJuly2014wererandomlydividedintothegroupAandthegroupB,with36caseseachgroup.ThegroupAwastreatedbyHVHFwithin6hoursafterthediagnosis,andthegroupBwasgivenbyHVHF,6hoursafterthediagnosis.Andthensomeindiceswerecomparedbetweenthetwogroups.ResultsAfterthetreatment,functionsofvisceraofpatientswerebetterthanbefore.ThescoreofAPACHEIIandthescoreofMODSinthegroupAweresignificantlylowerthanthatofthegroupB.Themortalityratewas30.56% and55.56%,respectivelyinthegroupAandinthegroupB.Therewasasignificantdifferencebetweentwogroups(P<0.05).ConclusionTheearlyhighvolumehemofiltrationcouldimprovethefunctionsofvisceraofpatientswit