摘要
目的观察床旁CVVH模式治疗脓毒症的临床效果。方法随机选取该科2015年10月-2018年5月收治的100例脓毒症患者,依据治疗方案的不同进行分组,每组50例,对照组展开常规治疗,观察组展开床旁CVVH模式治疗,对比两组疗效、HCO3-水平、pH值及Lac水平。结果治疗后,观察组患者有效率94.00%,而对照组是76.00%,差异有统计学意义(χ^2=6.353,P<0.05)。治疗后,观察组HCO3-水平是(22.26±4.17)mmol/L,pH值是(7.42±0.11),高于对照组的(16.98±3.58)mmol/L及(7.27±0.15),而观察组的Lac水平是(3.77±2.20)mmol/L,则低于对照组的(5.99±2.18)mmol/L,差异有统计学意义(P<0.05)。结论床旁CVVH模式应用于治疗脓毒症不仅可提升其治疗效果,而且还能改善HCO3-水平、pH值及Lac水平,因此值得选用。
Objective To observe the clinical effect of bedside CVVH model in the treatment of sepsis.Methods A random selection of 100 patients with sepsis admitted from October 2015 to May 2018 under the undergraduate group was divided into groups according to different treatment schemes.Each group had 50 cases.The control group started conventional treatment,and the observation group started bedside CVVH mode treatment,compare the efficacy,HCO3-level,pH value and Lac level of the two groups.Results After treatment,the effective rate was 94.00%in the observation group and 76.00%in the control group.There was a significant difference(χ^2=6.3529,P<0.05).After treatment,the HCO3-level in the observation group was(22.26±4.17)mmol/L,and the pH was(7.42±0.11)mmol/L,which was higher than the control group(16.98±3.58)mmol/L and(7.27±0.15),while the Lac level in the observation group was(3.77±2.20)mmol/L,which was lower than that of the control group(5.99±2.18)mmol/L,with a significant difference(P<0.05).Conclusion The application of bedside CVVH mode in the treatment of sepsis can not only improve its treatment effect,but also improve HCO3-level,pH value and Lac level,so it is worth choosing.
作者
马继韬
李扬
郑鹏肖
MA Ji-tao;LI Yang;ZHENG Peng-xiao(Kunming First People's Hospital,Kunming,Yunnan Province,650034 China)
出处
《系统医学》
2020年第4期42-44,共3页
Systems Medicine
