摘要
目的本文研究床旁超声指导下早期液体复苏治疗重症脓毒症的临床效果。方法研究时间:2019年1月1日-2021年12月31日,研究对象:本院收取的50例重症脓毒症患者,随机进行分组,每组患者数量:25例。对照组采用常规液体复苏干预,研究组采用床旁超声指导下液体复苏干预。最后收集并分析患者的治疗有效率、黏附因子、炎性因子、生命体征、液体复苏达标概率、CRRT发生率、不良反应情况等数据。结果研究组治疗有效率高于对照组(P<0.05)。研究组患者黏附因子指标数据低于对照组(P<0.05)。研究组患者炎性因子指标数据低于对照组(P<0.05)。研究组患者血乳酸、最终液体复苏量数据低于对照组,心率、中心静脉压、平均静脉压、中心静脉血氧饱和度等数据高于对照组(P<0.05)。研究组液体复苏达标概率高于对照组,CRRT发生率低于对照组(P<0.05)。研究组不良反应数量低于对照组(P>0.05)。结论在为重症脓毒症患者进行治疗时,通过床旁超声指导下早期液体复苏治疗能够取得更好的效果,患者各项身体机能能够有效恢复,各项生命体征指标更加稳定,建议在实际的治疗中予以借鉴和采用。
Objective To study the clinical effect of early fluid resuscitation under the guidance of bedside ultrasound in the treatment of severe sepsis.Methods The research period was from January 1,2019 to December 31,2021.Subjects:50 patients with severe sepsis collected by our hospital were randomly divided into groups,and the number of patients in each group was 25.The control group received routine fluid resuscitation intervention.The study group used bedside ultrasound guided fluid resuscitation intervention.Finally,the effective rate,adhesion factors,inflammatory factors,vital signs,the probability of fluid resuscitation reaching the standard,the incidence of CRRT,adverse reactions and other data were collected and analyzed.Results The effective rate of the study group was higher than that of the control group,(P<0.05).The adhesion factor index data of the study group was lower than that of the control group,(P<0.05).The data of inflammatory factors in study group was lower than that in control group,(P<0.05).The data of blood lactic acid and final fluid resuscitation in the study group were lower than those in the control group,while the data of heart rate,central venous pressure,mean venous pressure and central venous oxygen saturation were higher than those in the control group,(P<0.05).The rate of fluid resuscitation in the study group was higher than that in the control group,and the incidence of CRRT was lower than that in the control group,(P<0.05).The number of adr in the study group was lower than that in the control group,but(P<0.05).Conclusion In the treatment of patients with severe sepsis,early fluid resuscitation therapy guided by bedside ultrasound can achieve better results,patients can effectively recover various bodily functions,and vital signs indicators are more stable.It is suggested to be used for reference in practical treatment.
作者
张磊云
李少洪
姚一鸣
钟坚
张伟
ZHANG Leiyun;LI Shaohong;YAO Yiming;ZHONG Jian;ZHANG Wei(Emergency Department,Dongguan Donghua Hospital,Dongguan,Guangdong 523000)
出处
《智慧健康》
2022年第31期25-28,32,共5页
Smart Healthcare
关键词
床旁超声指导
早期液体复苏
重症脓毒症
Bedside ultrasonic guidance
Early fluid resuscitation
Severe sepsis
