摘要
目的研究并分析不同血液净化模式治疗脓毒症多脏器功能衰竭的临床疗效。方法选取本院脓毒症多脏器功能衰竭患者60例,选取时间为2017年1月到2018年11月,随机分成对照组和观察组,各30例,对照组采取连续性静脉-静脉血液滤过治疗,观察组采取脉冲式高容量血液滤过治疗,记录并对比两组患者的PaO2/FiO2、MAP、HR、BUN。结果观察组患者的PaO2/FiO2高于对照组,而MAP、HR、BUN均要低于对照组患者,P<0.05。结论采用脉冲式高容量血液滤过治疗模式治疗脓毒症合并多脏器功能衰竭患者,可有效清除炎症因子,改善患者的肝肾功能,改善患者的预后。
Objective To study and analyze the clinical efficacy of different blood purification modes in the treatment of sepsis multiple organ failure.Methods Our hospital sepsis 60 patients with multiple organ function failure,selection for January 2017 to November 2018,randomly divided into control group and observation group,30 cases of control group treated with continuous intravenous-channels hemofiltration,observation group treated with pulse type high volume hemofiltration,recorded and compared two groups of patients with PaO2/FiO2,MAP,HR,BUN.Results PaO2/FiO2 in the observation group was significantly higher than that in the control group,while MAP,HR,BUN were all lower than those in the control group,P<0.05.Conclusion Pulse high-volume hemofiltration therapy can effectively remove inflammatory factors,improve liver and kidney function,and improve prognosis of patients with sepsis complicated with multiple organ failure.
作者
徐欣
Xu Xin(Department of Emergency,the First Affiliated Hospital of Henan University,Henan Xinyang 475000)
出处
《辽宁医学杂志》
2019年第6期30-32,共3页
Medical Journal of Liaoning
关键词
脓毒症多脏器功能衰竭
血液净化
疗效
Sepsis multiple organ failure
Blood purification
The curative effect
