不同麻醉方式对感染性休克患者处理效果分析

Effects of different anesthesia methods on treatment of patients with septic shock

  • 摘要: 目的 探讨胃肠道感染引发的脓毒性休克患者的临床治疗方案,分析其临床疗效,为临床治疗提供依据。方法 分析2012年1月-2015年6月医院收治的48例胃肠道感染脓毒性休克患者临床资料,随机分为观察组和对照组各24例,观察组给予多巴胺联合去甲肾上腺素,对照组患者给予去甲肾上腺素治疗,观察两组患者治疗后血流动力学指标和氧合指标等,分析两组患者临床疗效。结果 两组患者平均动脉压差异无统计学意义;观察组患者心率显著低于对照组,观察组肺动脉楔压、心排指数、体循环阻力指数和左室每搏功指数均显著高于对照组,组间差异有统计学意义(P<0.05);观察组患者氧耗量显著低于对照组,氧摄取率显著较高(P<0.05);观察组和对照组乳酸水平分别为(3.69±1.96)mmol/L、(4.58±2.52)mmol/L,联合使用去甲肾上腺素和多巴胺可有效降低患者乳酸水平。结论 联合使用去甲肾上腺素和多巴胺可有效改善脓毒性休克症状,临床可推广使用。

     

    Abstract: OBJECTIVE To explore the programs of clinical treatment of patients with septic shock induced by gastrointestinal tract infections and analyze the clinical efficacy so as to provide guidance for clinical treatment. METHODS A total of 48 septic shock patients with gastrointestinal tract infections who were treated in hospitals from Jan 2012 to Jun 2015 were enrolled in the study and randomly divided into the observation group and the control group, with 24 cases in each group, and the clinical data of the patients were analyzed. The observation group was treated with dopamine combined with norepinephrine, while the control group was given norepinephrine. The hemodynamic parameters and oxygenation indicators of the two groups of patients were observed after the treatment, and the clinical efficacy was analyzed. RESULTS There was no significant difference in the mean arterial pressure between the two groups of patients. The heart rate of the observation group was significantly lower than that of the control group. The pulmonary artery wedge pressure, cardiac index, systemic vascular resistance index, and left ventricular stroke work index were significantly higher in the observation group than in the control group(P<0.05). The oxygen consumption of the observation group was significantly lower than that of the control group, and the oxygen uptake rate was remarkably high (P<0.05). The level of lactate was (3.69±1.96)mmol/L in the observation group, (4.58±2.52)mmol/L in the control group, and dopamine combined with norepinephrine could effectively reduce the level of lactate of the patients. CONCLUSION Dopamine combined with norepinephrine can effectively improve the symptom of septic shock, and it is worthy to be promoted in the hospital.

     

/

返回文章
返回