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连续性血液净化对脓毒症患者预后的影响▲
The impact of continuous blood purification on the prognosis of patients with severe sepsis

微创医学 201605期 页码:673-674,681

作者机构:广西南宁市第一人民医院ICU,南宁市530022

基金信息:▲基金项目:广西南宁市科技攻关计划项目(编号:20143318)
作者简介:黄业(1977~),男,硕士,主治医师,研究方向:危重症救治。

DOI:DOI:10.11864/j.issn.1673.2016.05.04

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目的探讨连续性血液净化治疗对危重脓毒症患者免疫功能的影响。方法选取危重脓毒症患者30例进行连续性血液净化治疗。治疗24 h后,对患者进行血常规、免疫球蛋白、血气分析以及凝血功能检测,进行急性生理与慢性健康评分,记录患者病情。结果在连续性血液净化治疗过程中,30例患者血流动力学维持稳定状态;治疗24 h后,患者的心率、呼吸频率以及体温均有所降低,临床症状有所好转。在治疗48 h后,患者急性生理与慢性健康评分显著下降,临床症状明显得到改善。治疗前和治疗48 h后,患者各项免疫功能参数明显升高(P<0.05)。结论对危重患者进行连续性血液净化治疗,能改善机体免疫功能,减轻炎症反应,使稳定机体内环境,有利于危重患者的预后。
ObjectiveTo investigate the effect of continuous blood purification therapy on immune function in patients with severe sepsis. Methods30 cases of patients with severe sepsis received continuous blood purification treatment. 24 h later, blood routine examination, immunoglobulin detection, blood gas analysis and blood coagulation function, acute physiology and chronic health score was examine and recorded. ResultsIn the process of continuous blood purification treatment, the hemodynamics of 30 patients were maintained at stability. 24 h after treatment, the heart rate, respiratory rate and body temperature were decreased, the clinical symptoms improved. 48 h later, the acute physiology and chronic health scores decreased significantly, the clinical symptoms were improved significantly. Before and 48 h after therapy, the immune function parameters of the patients were significantly increased (P<0.05). ConclusionContinuous blood purification treatment in patients with severe sepsis, can improve immune function, reduce inflammation, stabilize internal environment, and is conducive to the prognosis of patients.

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