摘要
目的:探究脓毒血症感染性休克患者、中心静脉压、平均动脉压与超声指标变化与预后的相关性。方法:回顾性分析2023年10月至2025年1月于本院接受治疗的64例脓毒血症感染性休克患者的临床资料并纳入观察组,选取64例同期健康体检者纳入对照组,对比观察组和对照组入院当天平均动脉压(Mean Arterial Pressure,MAP)、中心静脉压(Central Venous Pressure,CVP);超声指标(最大下腔静脉直径(Inferior Vena Cava Maximum Diameter,IVCmax)、最小下腔静脉直径(Inferior Vena Cava Minimum Diameter,IVCmin))水平情况。结果:观察组和对照组血流动力学参数、超声指标水平对比,数据差异有统计学意义(P<0.05);相较于预后良好组患者,预后不良组IVCmax、IVCmin、MAP水平较低,CVP水平较高(P<0.05);多因素Logistic回归分析结果显示,血流动力学参数、超声指标水平是脓毒血症感染性休克患者的影响因素(P<0.05);受试者工作特征曲线(Receiver Operating Characteristic curve,ROC)分析结果显示,血流动力学参数、超声指标以及联合诊断脓毒血症感染性休克患者预后曲线下的面积分别为0.766、0.752、0.862。结论:中心静脉压、平均动脉压联合超声指标在脓毒血症感染性休克患者预后中具有较高的诊断价值。相较于单一指标,联合诊断能够更准确地评估患者的预后情况,因此为临床治疗决策提供更有力的支持。
Objective:To investigate the correlation between patients with septic infectious shock and changes in central venous pressure,mean arterial pressure and ultrasound indices and prognosis.Methods:A retrospective analysis was conducted on the clinical data of 64 patients with sepsis-induced septic shock who were treated in our hospital from October 2023 to January 2025 and were included in the observation group.Meanwhile,64 healthy individuals who underwent physical examinations during the same period were selected as the control group.The study compared the mean arterial pressure(MAP)and central venous pressure(CVP)on the day of admission between the observation group and the control group.It also examined the levels of ultrasonic indicators,including the maximum diameter of the inferior vena cava(IVCmax)and the minimum diameter of the inferior vena cava(IVCmin).Results:Comparing the levels of haemodynamic parameters and ultrasound indices in the observation and control groups,the difference in the data was statistically significant(P<0.05);compared to patients in the good prognosis group,the maximum inferior vena cava diameter(IVCmax),the minimum inferior vena cava diameter(IVC vena cava min),the mean arterial pressure(MAP)were The ROC curve analysis of the multifactorial logistic regression analysis showed that the area under the prognostic curve for haemodynamic parameters,ultrasound indices and patients with concomitant septic infectious shock was 0.766,0.752 and 0.862,respectively.Conclusion:An index that combines central venous pressure and mean arterial pressure with ultrasound has high diagnostic value in the prognosis of patients with septic infectious shock.Compared to single indices,the combined diagnosis can provide a more accurate assessment of the patient's prognosis and therefore stronger support for clinical treatment decisions.
作者
肖红勇
刘江
宋丽琴
Xiao Hong-yong;Liu Jiang;Song Li-qin(Department of Critical Care Medicine,The Second People's Hospital of Pingxiang,Pingxiang 337000,Jiangxi,China)
关键词
脓毒血症感染性休克
中心静脉压
平均动脉压
超声指标
相关性
Septic infectious shock
Central venous pressure
Mean arterial pressure
Ultrasound index
Correlation
