床旁超声指导的早期液体复苏在脓毒症休克患者治疗中的应用价值分析

Analysis of the Application Value of Early Fluid Resuscitation Guided by Bedside Ultrasound in the Treatment of Septic Shock Patients

为探究床旁超声指导的早期液体复苏在脓毒症休克患者治疗中的应用价值,以2021年1月—2022年12月赫章县人民医院收治的60例脓毒症休克患者为研究对象,根据入组标准分为两组,两组患者入科后均给予常规治疗。观察组患者在对照组基础上增加早期床旁超声监测下的补液速度(“4”模式)。结果显示,观察组患者治疗前LVEF、LVEDV、CBF及CBV在治疗后7d和14d较对照组明显增加,差异有统计学意义(P<0.05)。研究发现,应用床旁超声指导的早期液体复苏可以明显改善脓毒症休克患者循环功能,提高器官灌注水平。早期液体复苏的目标是增加心排血量和器官灌注量,改善微循环及组织灌注,提高患者生存率。

Explore the application value of early fluid resuscitation guided by bedside ultrasound in the treatment of septic shock patients.The 60 patients with septic shock admitted to Hezhang County People’s Hospital from January 2021 to December 2022 were taken as the research objects,and were divided into two groups according to the inclusion criteria.Both groups were given routine treatment after admission.The observation group patients increased the fluid replacement speed under early bedside ultrasound monitoring(i.e.“4”mode)on the basis of the control group.The results showed that the LVEF,LVEDV,CBF,and CBV of the observation group before treatment significantly increased compared to the control group on the 7th and 14th days after treatment,with a statistically significant difference(P<0.05).Research has found that early fluid resuscitation guided by bedside ultrasound can significantly improve circulatory function and organ perfusion levels in septic shock patients.The goal of early liquid resuscitation is to increase cardiac output and organ perfusion,improve microcirculation,improve tissue perfusion,and improve patient survival rate.