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目的:研究早期液体复苏对感染性休克患者血流动力学的改善作用。方法:选择2015年12月-2017年1月我院收治的感染性休克患者40例作为研究对象,采用随机分类法将其分为对照组、治疗组均20例患者,两组患者均进行早期复苏治疗,对照组给予常规复苏液治疗,治疗组给予早期液体复苏治疗,对比分析两组患者血流动力学指标、血管外肺水(EVLW)、血浆脑钠肽水平(BNP)。结果:治疗组血流动力学指标明显优于对照组,且EVLW、BNP水平明显低于对照组,P<0.05。结论:给予感染性休克患者早期液体复苏治疗,能有效改善血流动力学,同时还可降低EVLW、BNP水平,值得临床推广应用。
Objective: To study the effect of early liquid resuscitation on hemodynamics in septic shock patients. Methods: Forty patients with septic shock admitted to our hospital from December 2015 to January 2017 were selected as the study subjects. They were randomly divided into control group and treatment group with 20 patients. Both groups were treated with early stage The patients in the control group were treated with conventional resuscitation solution. The patients in the treatment group were treated with early liquid resuscitation. The hemodynamic parameters, extravascular lung water (EVLW) and plasma BNP were compared between the two groups. Results: The hemodynamic indexes of the treatment group were significantly better than those of the control group, and the levels of EVLW and BNP were significantly lower than those of the control group (P <0.05). Conclusion: The early liquid resuscitation in patients with septic shock can effectively improve hemodynamics, but also reduce the levels of EVLW and BNP, which is worthy of clinical application.