ScvO2联合PCT监测在严重脓毒症患儿预后评估中的应用价值研究

Application Value Study of ScvO2 Combined with PCT Monitoring in Prognosis Assessment of Severe Sepsis Children

目的探究在严重脓毒症患儿预后评估中ScvO2联合PCT监测的临床应用价值。方法选取2018年3月至2020年3月入住清远市妇幼保健院的80例严重脓毒症患儿作为研究对象,跟据严重程度分为一般脓毒症组和严重脓毒症组,每组中的患儿数量各为40例。结果入院后6 h、12 h、24 h、48 h、72 h观察组患儿的LAC水平高于对照组,入院6 h、12 h、48 h、72 h观察组患儿的PCT水平高于对照组,入院后6 h、12 h、24 h、48 h、72 h观察组患儿的ScvO2水平低于对照组,差异明显(P<0.05)。结论对严重脓毒症患儿的LAC水平、PCT水平、ScvO2水平变化进行早期动态监测,为脓毒症患儿预后评估提供了很好的参考价值。

Objective to explore clinical value of ScvO2 combined with PCT monitoring in prognosis assessment Child Health Hospital from March 2018 to March 2020 as research objects.Divide them into general sepsis group and severe sepsis group according to severity,40 cases in each group.Results LAC level of observation group was higher than control group at 6 h,12 h,24 h,48 h,and 72 h after admission.PCT level of observation group was higher than control group at 6 h,12 h,48 h,and 72 h.ScvO2 level in observation group,24 h,48 h,and 72 h was lower than control group,difference was significant(P<0.05).Conclusion early dynamic monitoring of changes in LAC,PCT,and ScvO2 levels of severe sepsis children provides good reference value for prognosis assessment of sepsis children.