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目的分析及探索连续性血液净化疗法在烧伤脓毒症患者治疗中的临床价值。方法 60例烧伤脓毒症患者,采用随机分组法分为治疗组与对照组,各30例。对照组患者给予常规疗法治疗,治疗组患者则在对照组治疗基础上加用连续性血液净化进行治疗。观察比较两组患者治疗前后电解质、肝肾功能、血气分析及急性生理与慢性健康(APACHE)Ⅱ评分情况。结果两组患者治疗后的氧合指数(PaO_2/FiO_2)、平均动脉压(MAP)、血乳酸(LAC)、肌酐(Cr)、APACHEⅡ等指标均显著优于治疗前,且治疗后治疗组各指标均优于对照组,差异有统计学意义(P<0.05)。结论连续性血液净化疗法治疗烧伤脓毒症疗效显著,值得临床推广。
Objective To analyze and explore the clinical value of continuous blood purification in the treatment of burn sepsis patients. Methods Sixty patients with burn sepsis were randomly divided into treatment group and control group, with 30 cases in each group. Patients in the control group were given conventional therapy, while those in the treatment group were treated with continuous blood purification on the basis of the control group. Electrolytes, liver and kidney function, blood gas analysis and acute physiology and chronic health (APACHE) Ⅱ score were observed before and after treatment. Results After treatment, the PaO 2 / FiO 2, MAP, LAC, Cr, APACHE Ⅱ and other indexes in the two groups were significantly better than those before treatment, and after treatment, Indicators were better than the control group, the difference was statistically significant (P <0.05). Conclusion Continuous blood purification therapy for burn sepsis significant effect, worthy of clinical promotion.