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新乡市第二人民医院烧伤科
纸质出版日期:2020,
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[1]王曌华,张永,裴敬仲.连续性肾脏替代疗法在烧伤创面脓毒症中的应用[J].保健医学研究与实践,2020,17(05):55-58.
Wang Zhaohua, Zhang Yong, Pei Jingzhong. Continuous renal replacement therapy in burn wound sepsis[J]. Health Medicine Research and Practice, 2020,17(5):55-58.
目的探讨连续性肾脏替代疗法在烧伤创面脓毒症中的应用。方法选取2015年6月-2019年9月新乡市某医院收治的60例烧伤创面脓毒症患者为研究对象
根据治疗方案将患者分为观察组(22例)和对照组(38例)。对照组患者给予常规治疗
观察组患者在对照组治疗基础上给予连续性肾脏替代疗法治疗。比较2组患者在治疗前、治疗2周时各项生命体征指标(平均动脉压、心率、血氧饱和度)、血清生化指标(血尿素氮、血肌酐、血钠、血钾)
比较2组患者治疗后2个月时的死亡率。结果治疗前
2组患者平均动脉压、心率、血氧饱和度比较
差异均无统计学意义(P>0.05)。治疗2周时
观察组患者平均动脉压、血氧饱和度均高于治疗前
且观察组明显高于对照组
差异均有统计学意义(P<0.05)。治疗2周时
观察组患者心率低于治疗前
且观察组明显低于对照组
差异均有统计学意义(P<0.05)。治疗前
2组患者血尿素氮、血肌酐、血钾、血钠水平比较
差异均无统计学意义(P>0.05)。治疗2周时
观察组患者血尿素氮、血肌酐、血钾、血钠水平均低于治疗前
且观察组明显低于对照组
差异均有统计学意义(P<0.05)。观察组患者死亡7例
死亡率为31.8%。对照组患者死亡25例
死亡率为65.8%。2组患者死亡率比较
差异有统计学意义(P<0.05)。结论连续性肾脏替代疗法能够改善烧伤创面脓毒症患者的各项生命体征和血清生化指标
可明显降低患者的死亡风险
值得临床推广使用。
Objective To explore the application of continuous renal replacement therapy in burn wound sepsis. Methods Sixty patients with burn wound sepsis admitted to a hospital in Xinxiang City from June 2015 to September 2019 were selected
and the patients were divided into an observation group(22 cases) and a control group(38 cases) according to the treatment plan. Patients in the control group were given conventional treatment
and patients in the observation group were given continuous renal replacement therapy on the basis of the treatment in the control group. The vital parameters(mean arterial pressure
heart rate
blood oxygen saturation)
serum biochemical parameters(blood urea nitrogen
blood creatinine
blood sodium
blood potassium) before treatment and at 2 weeks of treatment as well as the mortality rate were compared between the two groups after 2 months of treatment. Results Before the treatment
the differences between the 2 groups of patients in terms of vital parameters(mean arterial pressure
heart rate and blood oxygen saturation) were not statistically significant(P>0.05). At 2 weeks of treatment
the mean arterial pressure and oxygen saturation of the patients in the observation group were higher than those before treatment
and at the same time
significantly higher than the control group(P<0.05). At 2 weeks of treatment
the heart rate of patients in the observation group was lower than that before treatment
and at the same time
significantly lower than the control group(P<0.05). Before treatment
the differences in serum biochemical indexes(blood urea nitrogen
blood creatinine
blood potassium and blood sodium) between the 2 groups of patients were not statistically significant(P>0.05). At 2 weeks of treatment
the blood urea nitrogen
creatinine
potassium and sodium in the observation group were all lower than those before treatment
and at the same time
significantly lower than the control group(P<0.05).The number of deaths in the observation group was 7
and the mortality rate was 31.8%. The number of deaths in the control group was 25 cases
and the mortality rate was 65.8%. The difference was statistically significant(P<0.05). Conclusion Continuous renal replacement therapy can improve all vital signs and serum biochemical parameters of patients with burn wound sepsis and significantly reduce the risk of death of patients
and therefore
is worthy of clinical promotion and use.
连续性肾脏替代疗法烧伤创面脓毒症死亡率生命体征血生化指标
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