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连续性血液净化对脓毒症治疗效果的影响

Effects of continuous blood purification on therapeutic efficiency in septic patients

  • 摘要:
    目的 探讨连续性血液净化(CBP)对脓毒症患者治疗效果的影响。
    方法 2018年10月至2020年12月南通大学附属医院及分院诊治脓毒症患者122例,将其随机分为CBP组及常规组,各61例。常规组实施常规治疗;CBP组在常规治疗的基础上予以CBP治疗。比较两组治疗前后炎症因子(肿瘤坏死因子-α、白细胞介素8、白细胞介素6)、脓毒症指标(C-反应蛋白、白细胞计数、降钙素原)、住院情况等。
    结果 两组炎症因子、脓毒症指标治疗前差异无统计学意义;治疗1周后CBP组炎症因子、脓毒症指标治疗低于常规组(P < 0.01)。CBP组患者住重症监护室时间、总住院时间短于常规组(P < 0.001),APACHE Ⅱ评分低于常规组(P < 0.01)。
    结论 CBP可以有效降低患者因脓毒症而升高的指标,同时可以改善体液平衡,值得临床应用。

     

    Abstract:
    Objective To analyze the effect of continuous blood purification (CBP) on the therapeutic efficiency in septic patients.
    Methods A total of 122 patients diagnosed and treated in the Affiliated Hospital of Nantong University from October 2018 to December 2020 were randomly divided into the CBP group and conventional group, with 61 patients in each group. The patients in the conventional group received conventional treatment, and patients in the CBP group received CBP treatment on the basis of conventional treatment. The inflammatory factors (included tumor necrosis factor-α, interleukin-8, and interleukin-6), sepsis indicators, and hospitalization situation between the two groups before and after treatment were compared.
    Results There were no statistically significant differences in the inflammatory factors and sepsis indicators between the two groups before treatment. The inflammatory factors and sepsis indicators were lower in the CBP group than those in the conventional group 1 week after treatment (P < 0.01). Compared with the patients of in the conventional group, the length of stay in the intensive care unit and the total length of hospital stay of patients were shorter in the CBP group (P < 0.001), and APACHE Ⅱ scores was also lower in the CBP group (P < 0.01).
    Conclusions For patients with sepsis, CBP can effectively suppress the indicators elevated due to sepsis while maintaining body fluid balance, and is hence of great significance in clinical applications.

     

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