摘要
目的探讨休克指数(SI)对急诊严重脓毒症和脓毒性休克预后评估的临床意义。方法选择106例急诊严重脓毒症和脓毒性休克患者,根据患者28 d转归情况分为存活组(50例)和死亡组(56例),测定和对比所有患者入院时的休克指数(SI1)和入院后接受液体复苏2 h后的休克指数(SI2)。结果入院时和液体复苏2 h后对比,死亡组的SI均高于存活组(P<0.05);死亡组SI2的ROC曲线面积大于SI1。结论相较入院时,入院后复苏2 h的休克指数在急诊严重脓毒症和脓毒性休克预后方面的预测价值更高。
Objective To evaluate the clinical significance of SI in evaluating the prognosis of severe sepsis and septic shock. Methods 106 cases of patients with severe sepsis and septic shock were selected,the patients were divided into survival group（n=50）and death group（n=56）according to the patient 28 days outcome. The shock index（SI1） of all patients admitted to hospital and the shock index（SI2） after fluid resuscitation at 2 h were measured and compared. Results On admission and after fluid resuscitation 2 hours,the death of the SI group were significantly higher than the survival group（P〈0.05）. The ROC curve area of death group SI2 was greater than SI1. Conclusion Compared with admission,the shock index at admission 2 hours after resuscitation was more predictive of severe sepsis and septic shock prognosis.
出处
《中国卫生标准管理》
2016年第36期48-50,共3页
China Health Standard Management
