摘要
目的探讨感染性休克患者的血乳酸清除率和APACHEⅡ评分的有关性。方法全组筛选2014年6月~2016年12月本院收治的30例感染性休克患者作为本次试验的对象,参照APACHEⅡ评分可将其分组,即A组(评分不低于20分)、B组(评分低于20分)各15例,均对其行血乳酸浓度检查,评估血乳酸清除率和APACHEⅡ评分的相关性。结果 A组的APACHEⅡ评分、血乳酸水平较B组较高,P<0.05;且两者呈正相关;存活组的血乳酸清除率(除其他指标)显著高于死亡组,P<0.05;且血乳酸清除率和APACHEⅡ评分呈负相关。结论对于感染性休克患者可将APACHEⅡ评分结合血乳酸清除率作为评估病情的重要指标,以能改善预后效果。
Objective To investigate the correlation of blood lactate clearance rate and APACHEⅡ score in patients with septic shock. Methods 30 patients with septic shock in our hospital from June 2014 to December 2016 were selected as subjects. According to the APACHE Ⅱ A（score not less than 20） and group B（score less than 20）. score, among them, 15 patients were divided into group Results The score of APACHEⅡ and the level of blood lactate in group A were higher than those in group B（P 〈 0.05）. And both showed positive correlation. The blood lactate clearance rate of survival group was significantly higher than that of death group （P 〈 0.05）. And the blood lactate clearance rate and Apache score were negatively correlated. Conclusion The APACHE Ⅱ score combined with blood lactate clearance can be used as an important index to evaluate the condition of patients with septic shock, so as to improve the prognosis.
出处
《中国医药科学》
2017年第5期184-186,共3页
China Medicine And Pharmacy
