肖岳.感染性休克患者预后与血乳酸清除率的临床研究[J].内科急危重症杂志,2016,22(2):
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| DOI： |
| 中文关键词: 感染性休克 乳酸清除率 急诊重症监护 |
| 英文关键词:: septic shock lactic acid clearance rate Emengency intensive Care Units |
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| 中文摘要: |
| 目的 探讨感染性休克患者早期乳酸清除率与预后的关系。方法 回顾性研究我院重症监护病房感染性休克患者56 例，收集其APACHE II评分、入ICU 6 h 后动脉血乳酸清除率及患者预后。分别将患者分成存活组和死亡组，高乳酸清除率组（6 h 乳酸清除率＞10%）和低乳酸清除率组（6 h 乳酸清除率＜10%），比较各组间的差异。结果 各组年龄、性别、APACHEII评分和基础血乳酸值差异无统计学意义。存活组乳酸清除率明显高于死亡组 [（29.83±14.96）% vs （9.74±8.61）%，P ＜0.01]；高乳酸清除率组病死率均明显低于低乳酸清除率组 （11.49% vs44.00%，P ＜0.01）。结论 早期乳酸清除率＞10%能准确评估感染性休克休克患者的预后。 |
| 英文摘要: |
| [Abstract] Objective: To explore the relationship between the early lactic acid clearance rate and prognosis in patients with septic shock.
Methods: Study 56 cases of patients with septic shock retrospectively in our Intensive Care Units and collect their APACHE II scores, their arterial blood lactate clearance rate after 6 h in ICU and their prognosis. Divide them respectively into Death Group and Survival Group, high lactic acid clearance rate Group (lactic acid clearance within 6 h＞10%) and low lactic acid clearance rate Group (lactic acid clearance within 6 h＜10%), and then compare their differences.
Results: The differences were not statistically significant in age, sex, APACHEII scores and underlying blood lactate value among these Groups. In Survival Group lactic acid clearance rate is obviously higher than that of Death Group [（29.83±14.96）% vs （9.74±8.61）%，P ＜0.01]; In high lactic acid clearance rate Group the death rate is obviously lower than that of low lactic acid clearance rate Group. （11.49% vs44.00%，P ＜0.01）。
Conclusion: The early lactic acid clearance rate＞10% can accurately access the prognosis of patients with septic shock.
[Key words]: septic shock lactic acid clearance rate intensive Care Units |
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