摘要
目的:探讨早期目标性复苏治疗曲线图对感染性休克患者液体复苏的效果,提高对感染性休克液体复苏评估的准确性和科学性,及时采取护理干预措施。方法:将48例感染性休克患者分为观察组和对照组各24例,观察组将数据绘制成曲线图并采取干预措施,对照组按传统方法处理。观察比较两组复苏6 h、复苏24 h EGDT指标的变化和两组液体治疗的效果。结果:两组复苏6h、复苏24 h EGDT指标的变化差异有统计学意义(P<0.01);两组6 h补液量、肺水肿发生率、休克持续时间、二次复苏率、血管活性药物运用上差异有统计学意义(P<0.05)。结论:使用EGDT曲线图可及时、动态、系统、全面的发现病情变化,从而提高治愈率。
Objective:To explore the application of early goal-directed therapy(EGDT) curve on impact evaluation for fluid resuscitation in septic shock patients in order to adopt nursing intervention measures in time.Methods: 48 cases of septic shock were divided into two groups(24 cases in each group). The EGDT curve was used only in experiment group. The da-ta and EGDT curve of patients at 6 h, 24 h after fluid resuscitation was observed and compared between two groups. Results:The difference of EGDT at 6 h, 24 h after resuscitation was statistically significant between two groups.(P<0.01). The volume of fluid input, incidence of pulmonary edema, shock duration, secondary resuscitation and application of vasoactive drugs of two groups at 6 h after resuscitation were significant differences( P<0.05). Conclusion: The EGDT curve can be used to observe change in patient condition timely so as to improve the cure rate of shock.
引文
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