流程化管理在提高感染性休克集束治疗执行率的临床研究

Clinical research on processed management in increasing execution efficiency on bundle therapy of septic shock

目的探讨流程化管理在提高感染性休克集束治疗3hBundle执行率中的应用效果。方法将2016年1月至6月收治的36例感染性休克患者作为对照组,2016年7月至12月收治的39例感染性休克患者作为观察组,对照组采用常规方法执行感染性休克集束治疗,观察组采用流程化管理策略执行感染性休克集束治疗,比较两组患者3hBundle执行率。结果感染性休克3hBundle中两组乳酸测定执行率均为100%,抗生素前留取标本、1h内应用抗生素、液体复苏(30ml/kg)执行率观察组高于对照组。结论流程化管理有利于提高感染性休克集束治疗3hBundle执行率。

Objective To study the effect of processed management on increasing 3 hBundle execution efficiency on bundle therapy of septic shock.Method 36 patients with septic shock admitted from Jan.2016 to Jun.2016 are in control group.39 patients with septic shock admitted from Jul.2016 to Dec.2016 are in observation group.Patients in control group receive bundle therapy by routine method.Patients in observation group receive bundle therapy by processed management.Compare the 3 hBundle execution efficiency between two groups.Result Execution efficiency of lactate measurement for 3 hBundle of septic shock is 100%.Execution efficiency on sample before antibiotics,antibiotics in one hour and fluid resuscitation（30 ml/kg）are all higher in observation group than in control group.Conclusion Processed management can improve 3 hBundle execution efficiency on bundle therapy of septic shock.