床旁超声检测指导液体复苏治疗重症脓毒症患者的临床价值分析

Clinical value analysis of bedside ultrasonic testing in guiding fluid resuscitation in patients with severe sepsis

目的探讨床旁超声检测指导液体复苏治疗重症脓毒症患者的临床价值。方法选择2018年10月至2019年10月本院接收的重症脓毒症患者64例,根据治疗方式的不同将其分为对照组和研究组,各32例。两组均进行液体复苏治疗,对照组使用常规液体复苏指导,研究组使用床旁超声检测液体复苏指导。对比两组患者的液体复苏达标率、终点事件情况。结果治疗72 h后研究组患者的液体复苏达标率高于对照组[93.75%(30/32)比75.00%(24/32)],研究组患者的持续肾脏替代治疗发生率低于对照组[12.50%(4/32)比59.37%(19/32)],两组比较差异均有统计学意义(均P<0.05)。结论床旁超声检测指导液体复苏治疗重症脓毒症患者,能够提高患者的液体复苏达标率,降低持续肾脏替代治疗的发生率。

Objective To explore the clinical value of bedside ultrasonic testing in guiding fluid resuscitation in patients with severe sepsis.Methods A total of 64 patients with severe sepsis admitted to our hospital from October 2018 to October 2019 were selected,and were divided into control group and study group according to different treatment methods,with 32 cases in each group.Both groups were treated with fluid resuscitation,the control group received conventional fluid resuscitation guidance,and the study group received bedside ultrasonic testing to guide fluid resuscitation.The rate of fluid resuscitation reaching the standard and endpoint events of the two groups were compared.Results After 72 hours of treatment,the rate of fluid resuscitation reaching the standard in the study group was higher than that in the control group[93.75%(30/32)vs.75.00%(24/32)](P<0.05),and the incidence of continuous renal replacement therapy in the study group was lower than that in the control group[12.50%(4/32)vs.59.37%(19/32)](P<0.05).Conclusion Bedside ultrasonic testing in guiding fluid resuscitation can increase the rate of fluid resuscitation reaching the standard in patients with severe sepsis,and reduce the incidence of continuous renal replacement therapy.