乳酸清除率评估严重脓毒症患者预后的临床分析.pdfVIP

2016 NO 14 中外医疗 ChinaForeignMedicalTreatment DOI：10.16662/j.cnki.1674-0742.2016.14.125 乳酸清除率评估严重脓毒症患者预后的临床分析 陈强 广西医科大学第一附属医院重症医学科,广西南宁 530021 [摘要] 目的分析乳酸清除率评估重度脓毒症患者预后的临床效果。 方法 随机选取该院在2015年2月—2016年2 月间收治的50例重度的脓毒症患者,根据患者的存活状况分成死亡组与存活组,各25例,对比分析两组患者乳酸的 清除率与乳酸情况。 结果存活组乳酸的清除率明显比死亡组低,比较差异有统计学意义(P﹤0.05)；存活组APACHE Ⅱ的评分明显比死亡组高,对比差异有统计学意义(P﹤0.05)。死亡组有7例(28.0%)患者死亡,在病人预后的判断中, 乳酸的清除率以及APACHEⅡ的评分比较一致(P﹥0.05)。 结论对于严重脓毒症患者而言,6h动脉乳酸的清除率是 严重的脓毒症病人预后预测的一种有效指标,具有应用价值。 [关键词] 乳酸清除率;重度浓毒症;预后 [中图分类号]R459 [文献标识码]A [文章编号] 1674-0742(2016)05(b)-0125-02 ClinicalAnalysisoftheRrognosisofPatientswithSevereSepsisbyLactic AcidClcaranceRate CEHNQiang Severemedicalscience,TheFirstAffiliatedHospitalofGuangxiMedical University,Nanning,GuangxiProvince,530021 China [Abstract]ObjectiveToanalyzetheclinicaleffectoflactateclearanceinevaluatingtheprognosisofpatientswithsevere sepsis.Methods 50casesofpatientswithseveresepsisadmittedandtreatedinourhospitalfromFebruary2015toFebru- ary2016wereselectedanddividedintothedeathgroupandthesurvivalgroupwith25casesineachaccordingtothesur- vivalconditions,andthelactateclearanceandlactateconditionsofthe twogroupswerecomparedandanalyzed. Results Thelactateclearanceinthesurvivalgroupwasobviouslyhigherthanthat inthedeathgroup,andthedifferencewasobvi- ousbycomparison, P0.05;theAPACHEⅡscoreinthesurvivalgroupwasobviouslyhigherthanthatinthedeathgroup, andthedifferencewasobviousbycomparison,P0.05,1case(4.0%)diedinthesurvivalgroupand7cases(28.0%)diedin thedeathgroup,thelactateclearanceandAPACHEⅡscorewereconsistentinthejudgmentofthepatientsprognosis, P 0.05. Conclusion Forpatientswithseveresepsis,6-hourarteriallactateclearanceisanef