早期集束化治疗在感染性休克的应用效果观察

摘要

Objective To discuss the clinical effect and inlfuence of early cluster treatment in patients with septic shock.Methods 78 cases of patients with septic shock treated in our hospital from May 2014 to May 2015 were divided into the observation group and the control group according to the early cluster treatment. In the control group, there were 30 patients with septic shock, and early cluster treatment had no good application. There were 48 cases of septic shock in the observation group, which was very good in the early stage of septic shock. In the observation group and control group, the patients in the treatment of patients with septic shock in the treatment of patients with the central venous pressure, urine volume increase or decrease, the patient mortality and the length of treatment in the intensive care unit to compare the effect of early treatment in the treatment of septic shock.Results In the observation group, 48 patients with the central venous pressure were improved, and 30 patients in the control group were treated with 48 cases of patients with septic shock, and 48 patients in control group were higher than those in control group. The mortality rate was higher in the control group than in the control group.Conclusion The level of the early treatment of the degree of compliance, and the recovery of the patients with septic shock, and the incidence of adverse conditions, the early treatment of early technical standards, the better the degree of compliance can better improve the patient's indicators, reduce mortality, and ensure the quality of life.%目的：讨论早期集束化治疗在对于感染性休克患者中的临床效果和影响。方法将我院重症医学科在2014年5月～2015年5月收治的78例感染性休克的患者根据早期集束化治疗是否达到水平分为观察组与对照组。对照组中的感染性休克患者有30例，早期集束化治疗没有很好的应用。观察组中的感染性休克患者有48例，早期集束化很好的应用于感染性休克中。通过比较观察组与对照组中患者在重症监护室感染性休克的治疗过程中患者的中心静脉压、尿量的增减、患者死亡率以及在重症监护室治疗时间长短来比较讨论早期集束化治疗在感染性休克中治疗中的效果。结果在观察组中早期集束化治疗达标的48例患者中，中心静脉压的值较对照组中的30例感染性休克患者提高，观察组中早期集束化治疗达标的48例患者较对照组中的30例感染性休克患者平均每小时尿量升高，对照组中患者死亡率高于观察组，并且在观察组中早期集束化治疗达标的48例患者平均转出重症监护室的时间要比对照组的平均时间要短。结论早期集束化治疗的达标程度，与感染性休克患者各项指标的恢复以及不良情况的发生有很大的关系，早期技术化治疗越早达标，达标程度越好可以更好的改善患者的各项指标，降低死亡率，保证生命质量。