期刊文献+

静脉-动脉二氧化碳分压差与动脉-中心静脉氧含量差预测脓毒症休克预后的价值 被引量:3

The value of venous-arterial carbon dioxide partial pressure difference and arterial-central venous oxygen content difference in predicting the prognosis of septic shock
下载PDF
导出
摘要 目的 探讨脓毒症休克患者中心静脉-动脉二氧化碳分压差与动脉-中心静脉氧含量差比值(Pcv-aCO_(2)/Ca-cvO_(2))的意义。方法 选取2019年1月—2021年1月阜阳市第五人民医院重症医学科收治的78例脓毒症休克患者为研究对象,对所有脓毒症休克患者进行复苏治疗,并测定复苏后6 h桡动脉和上腔静脉血气分析,计算Pcv-aCO_(2)/Ca-cvO_(2)。根据Pcv-aCO_(2)/Ca-cvO_(2)将患者分为两组,甲组为Pcv-aCO_(2)/Ca-cvO_(2)>1.8,乙组为Pcv-aCO_(2)/Ca-cvO_(2)≤1.8,比较两组患者重症监护病房(intensive care unit,ICU)住院时间及28 d病死率,并对两组患者进行生存分析。结果 甲组38人,乙组40人,两组患者在性别、年龄、第1天急性生理与慢性健康评分Ⅱ(APACHEⅡ)、第1天序贯器官衰竭评分(SOFA)、感染部位上均无统计学意义差异(均P>0.05)。与甲组相比,乙组患者的ICU住院时间较其显著缩短、28 d存活率较其显著提高、生存时间显著延长,差别具有统计学意义(P<0.05)。结论 Pcv-aCO_(2)/Ca-cvO_(2)可能作为预测患者预后的指标,Pcv-aCO_(2)/Ca-cvO_(2)≤1.8的患者预后较好。 Objective To explore the significance of the ratio of central venous-arterial carbon dioxide partial pressure difference to arterial-central venous oxygen content difference(Pcv-aCO_(2)/Ca-cvO_(2))in predicting the prognosis ofseptic shock.Methods 78 patients with septic shock underwent resuscitation therapy according to the early target-oriented treatment regimen.Blood gas analysis of radial artery and superior vena cava was conducted 6 hours after resuscitation and Pcv-aCO_(2)/Ca-cvO_(2)was calculated.According to Pcv-aCO_(2)/Ca-cvO_(2),the patients were divided into 2 groups.Group A(with the Pcv-aCO_(2)/Ca-cvO_(2)>1.8,n=18) and Group B(wihj the Pcv-aCO_(2)/Ca-cvO_(2)≤1.8,n=40).The length of intensive care unit(ICU) stay,28-day mortality rate,and survival time of the two groups were compared.Results There were not significant differences in gender,age,acute physiology and chronic health EvaluationⅡ(APACHE Ⅱ)score at day 1,sequential organ failure(SOFA) score at day 1,and site of infection(all P>0.05).The hospital stay length of Group C was(7.02±2.06)d,significantly shorter than that of Group A [(8.36±3.54)d,P<0.05].The 28-d survival rate of Group B was82.5%,significantly higher than that of Group A [60.53%,P<0.05].The survival tome of Group B was significantly longer than that of Group A(P<0.05).Conclusion Pcv-aCO_(2)/Ca-cvO_(2)may be used as an indicator to predict the prognosis of patients with sceptic shock.
作者 张怀伟 邵敏 单南冰 李彬彬 ZHANG Huaiwei;SHAO Min;SHAN Nanbing;LI Binbin(ICU,Fuyang Fifth People's Hospital,Fuyang Anhui 236000,China)
出处 《中国急救复苏与灾害医学杂志》 2022年第7期927-929,952,共4页 China Journal of Emergency Resuscitation and Disaster Medicine
基金 安徽省自然基金(编号:1808085MH228)。
关键词 脓毒症休克 中心静脉-动脉二氧化碳分压差与动脉-中心静脉氧含量差比值 生存情况 预后 Septic shock Ratio of central venous-arterial carbon dioxide partial pressure difference to arterial-central venous oxygen content difference Survival Prognosis
  • 引文网络
  • 相关文献

参考文献9

二级参考文献61

共引文献1055

同被引文献49

引证文献3

;
使用帮助 返回顶部