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目的对脓毒症患者血小板下降与感染性休克的关联性进行探究,并制定治疗方案,提高患者的复苏成功率。方法随机选取2014-05-2015-05我院84例脓毒症患者作为研究对象,探讨血小板下降与感染性休克的关联性,平均分成巴胺治疗组(对照组,n=42)与去甲肾上腺素治疗组(观察组,n=42)2组,比较其临床疗效。结果脓毒症患者血小板下降和感染性休克呈正相关关系,P<0.05。此外,从治疗复苏率方面分析,观察组为90.48%,对照组为69.05%,两组差异有统计学意义,P<0.05。从患者乳酸清除率方面分析,观察组患者治疗12、24h后改善情况显著优于对照组,差异有统计学研究意义。结论脓毒症患者血小板下降与感染性休克有直接的关联性,呈正相关,为了提高患者的复苏成功率,建议临床对其实施去甲肾上腺素治疗。
Objective To explore the relationship between the thrombocytopenia and septic shock in patients with sepsis and to develop a treatment plan to improve the success rate of patients’ resuscitation. Methods A total of 84 patients with sepsis in our hospital were selected as the study subjects from 2014-05-2015-05 2014-05-2015-05 to explore the association between the decline of thrombocytopenia and septic shock.All patients were divided into two groups: control group (n = 42) Adrenaline treatment group (observation group, n = 42), two groups were compared. Results There was a positive correlation between thrombocytopenia and septic shock in septic patients (P <0.05). In addition, from the treatment recovery rate analysis, the observation group was 90.48%, the control group was 69.05%, the difference between the two groups was statistically significant, P <0.05. From the analysis of patients with lactate clearance, observation group patients treated 12,24 h after the improvement was significantly better than the control group, the difference statistically significant. Conclusions There is a direct correlation between thrombocytopenia and septic shock in patients with sepsis. There is a positive correlation between thrombocytopenia and septic shock. To improve the success rate of resuscitation in patients with sepsis, norepinephrine treatment is recommended.