CRRT辅助治疗脓毒性休克的临床疗效及其对血PCT与CRP的影响
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四川省科技支撑计划项目(2010SZ0072)


The clinical efficacy of CRRT adjuvant therapy in patients with septic shock and its effect on blood PCT and CRP
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    摘要:

    【摘要】 目的 探讨连续性肾代替辅助治疗(CRRT)脓毒性休克的临床疗效及其对血降钙素原(PCT)和C反应蛋白(CRP)的影响。方法 选取2010年5月~2015年6月在我院接收治疗的脓毒性休克患者40例作为研究对象,按照治疗方法不同将其分为观察组和对照组,每组各20例。对照组给予常规综合治疗,观察组在对照组基础上给予CRRT进行干预治疗。治疗结束后比较患者的PCT、CRP水平、APACHEⅡ评分以及临床的疗效。结果 治疗后,两组PCT,CRP水平以及APACHEⅡ评分与治疗之前相比均有显著下降(P<005);与对照组相比,观察组PCT、CRP水平以及APACHEⅡ评分下降更多(P<005)。治疗后,两组总有效率比较差异具有统计学的意义(62% vs 25%,P<005)。结论 CRRT可有效降低脓毒症休克患者体内炎症介质水平,抑制炎症反应,且能够很好地改善APACHEⅡ评分和显著的提高患者的临床疗效,对于脓毒性休克具有良好的应用效果,值得临床推广应用。

    Abstract:

    【Abstract】 Objective To investigate the clinical efficacy of CRRT adjuvant therapy in patients with septic shock and its effect on blood PCT and CRP. Methods 40 patients with septic shock that received by our hospital during May 2010 to June 2015 were selected and divided into observation group and control group based on random number table. 20 patients were in each group. Patients in the control group were given regular systematic treatments, while patients in the observation group were given additional CRRT intervention based on the control group. After treatment, the PCT, CRP levels, APACHE Ⅱ score and the clinical efficiency were compared and analyzed between the two groups. Results After treatment, the PCT, CRP levels and APACHE Ⅱ score were all significantly lower than that before treatments. The differences of those items were statistically different (P<005). PCT, CRP levels and APACHE Ⅱ score of control group were significantly lower than that in treatment group (P<005). After treatment, the clinical efficacy of the observational group and control group were 62%,(13/40)and 25%, (5/20), respectively. The difference was statistically different (P<005). Conclusion CRRT can effectively reduce septic shock in patients with inflammatory mediators, inflammatory reaction, and effectively improve the APACHE score and significantly improve the patient's clinical curative effect.

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  • 在线发布日期: 2018-08-01
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