摘要
目的探索早期集束化治疗在经皮肾镜碎石(PCNL)术后感染性休克患者的应用价值。方法回顾性分析2011年1月至2013年9月因PCNL术后并发感染性休克入住该院中心ICU的患者,根据是否采取感染性休克集束化治疗分为非集束化治疗组28例,集束化治疗组26例。比较两组患者治疗前、治疗后第1、3、5天APACHE-Ⅱ评分和SOFA评分,ICU停留时间情况。根据28d随访结果比较两组患者病死率。结果同非集束化治疗组比较,集束化治疗组第1、3、7天APACHE-Ⅱ评分和SOFA评分均明显降低,差异有统计学意义(P<0.05)。随访28d,集束化治疗组患者病死率(15.38%)明显低于非集束化治疗组(35.71%),差异有统计学意义(P<0.05)。非集束化治疗组和集束化治疗组患者ICU停留时间分别为(9.04±4.48)d和(7.00±2.32)d,差异有统计学意义(P<0.05)。结论早期集束化治疗有利于减轻PCNL术后感染性休克患者病情严重程度,减少病死率。
Objective To explore the clinical application value of early bundle therapy in patients with septic shock after per‐cutaneous nephrolithotomy（PCNL） .Methods The retrospective analysis was conducted patients with septic shock after PCNL ad‐mitted to the central ICU of the First Affiliated Hospital ,University of South China from January 1st ,2011 to september 30 ,2013 . The patients were divided into non‐bundle therapy group and bundle therapy group according to whether treated by early bundle therapy .the APACHE‐Ⅱscore and SOFA score in the before and 1 ,3 ,7 d after treatment ,mortality rate within 28 d and length of ICU were compared with both groups .Results 54 patients were enrolled in the study ,there were 28 and 26 patients in non‐bundle therapy group and bundle therapy group ,respectively .The clinical data of patients in both groups had no significant difference be‐tween the groups ,all P〉0 .05 .Compared with the patients in non‐bundle therapy group ,the APACHE‐Ⅱscore and SOFA score in 1 ,3 ,7 d after treatment significantly decreased in bundle therapy group ,all P〈0 .05 .mortality rate in bundle therapy group and non‐bundle therapy group were 15 .38% and 35 .71% ,respectively ,P〈0 .05 ;and length of ICU were（9 .04 ± 4 .48）d and（7 .00 ± 2 .32）d ,respectively ,P〈0 .05 .Conclusion Early bundle therapy can effectively alleviate the severity of the disease and reduce mor‐tality of patients with septic shock after PCNL .
出处
《重庆医学》
CAS
北大核心
2015年第8期1039-1040,1043,共3页
Chongqing medicine
基金
湖南省医药卫生科研计划课题基金资助项目(B2013-040)
