早期目标性复苏治疗曲线图用于感染性休克患者液体复苏的效果观察

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英文篇名：Effect observation of the early goal-directed therapy curve on fluid resuscitation for patients with septic shock 作者：庄耀宁 ; 娄伟 ; 甘香 ; 黄美春 ; 陈敏敏 ; 徐吉涛 ; 魏碧蓉 英文作者：ZHUANG Yaoning;LOU Wei;GAN Xiang;HUANG Meichun;CHEN minmin;XU Jitao;WEI Birong;The Affiliated Hospital of Putian University;The Nursing School of Putian University; 关键词：EGDT曲线图 ; 感染性休克 ; 液体复苏 ; 护理干预 英文关键词：Early goal-directed therapy(EGDT) curve graph;;Septic shock;;Fluid resuscitation;;Nursing intervention 中文刊名：TJFN 英文刊名：Tianjin Journal of Nursing 机构：莆田学院附属医院;莆田学院护理学院; 出版日期：2019-02-28 出版单位：天津护理 年：2019 期：v.27;No.149 基金：莆田学院校内附属医院科研项目(2015051) 语种：中文; 页：TJFN201901004 页数：5 CN：01 ISSN：12-1260/R 分类号：18-22

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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