脓毒症快速反应团队的建立与应用

Establishment and implementation of the Sepsis Rapid Response Team

为了提高脓毒症和感染性休克患者的抢救成功率,2015年我院重症医学科建立了脓毒症快速反应团队,并制定了脓毒症预警触发标准,脓毒症快速反应团队职责和实施抢救的流程等。脓毒症快速反应团队建立后,从2016年1月至2017年12月,共抢救脓毒症和感染性休克患者247例;脓毒症快速反应团队实施后,黄金3小时的脓毒症集束化治疗的执行率从33.3%提高到100.0%,24小时抢救成功率从90.7%提高到99.2%,脓毒症患者28天存活率从71.3%提高到77.3%。脓毒症快速反应团队的应用,对抢救脓毒症及感染性休克患者具有非常重要的意义。

In order to improve the rescue success rate of sepsis and septic shock patients, we established Sepsis Rapid Response Team （SRRT） in 2015. The sepsis early warning standard, responsibility of SRRT, emergency rescue process were formulated at the same time. From January 2016 to December 2017, a total of 247 rescuing patients with sepsis and septic shock were included. After the SRRT＇s work, the compliance of sepsis cluster treatment in the golden 3 hours increased from 33.3% to 100.0%, the rescue success rate increased from 90.7% to 99.2%, and the 28 days survival rate of patients with sepsis increased from 71.3% to 77.3%. In conclusion, the SRRT is important to the rescue the sepsis and septic shock patients.