早期乳酸清除率对ICU重症感染者预后的影响分析.docVIP

早期乳酸清除率对ICU重症感染者预后的影响分析 青岛市中心（肿瘤）医院重症医学科266000 通讯王敬东单位青岛市中心（肿瘤）医院重症医学科 目的:探讨早期乳酸清除率对ICU重症感染者预后的影响，为早期乳酸清 除率对ICU重症感染者预后的影响。方法:选取2013年2月?2016年2月在医院 接受治疗的104例ICU重症感染患者作为此次研究对象，根据患者生存情况，分 为牛存组和死广组，根据患者乳酸清除率情况分为高乳酸清除率组和低乳酸清除 率组，分析比较牛存组和死亡组的观察项目情况，分析比较高乳酸清除率组和低 乳酸清除率组，分析比较不同程度乳酸清除率的情况。结果:牛存组中第二代急 性生理学和慢性健康状况评分（APACHE II ）、入住ICU血液乳酸含量、6h血液乳 酸含量明显低于死亡组；入住6h后血液乳酸清除率明显好于死亡组，两组之间 差异显著，具有统计学意义（P0.05）；高乳酸清除率组的死亡率明显低于低乳 酸清除率组，两组之间差异显著，具有统计学意义（PV0.05）；乳酸清除率越高， 患者的死亡率越低，随着乳酸清除率的升高，患者死亡率随之下降，组间差异显 著，具有统计学意义（PV0.05）。结论:早期乳酸清除率对ICU重症感染者预后的 效果显著，乳酸的早期清除率能对ICU重症感染者的预后进行评估，同时乳酸清 除率维持在一个较高的水平能有效的提高ICU重症感染者的牛存率。 关键词早期乳酸清除率；ICU重症感染者；预后；影响分析 R473A1001-5213（2016）08-0360-02 Abstract: Objective: To investigate the effect of early lactate clearanee rate and prog nosis of severe ICU in fection, early lactate clearance rate effect on the prog nosis of severe ICU infection. Methods: a total of February 2013 to 2016 2 months in the hospital to accept treatment of 104 cases of ICU patients with severe sepsis as the research object, according to patient survival, survival group and death group, according to the patients with lactic acid clearance rate points for high lactate clearanee group and high lactate clearanee group. Analysis to compare the survival group and death group observation and analysis of relatively high lactate clearanee rate group and high lactate clearance group, analysis compared the differences in the degree of lactate clearanee rate. There is sign讦icant differenee between the group there is sign讦icant differenee between the results in the survival group in the second generation of acute physiology and chronic health score (APACHE ll)z admitted to the ICU and blood lactic acid content, 6h blood lactic acid content was significantly lower than that of death group check in 6h after blood lactate clearance rate was significantly better than in death group, the two groups has statistical significanee (P lt; 0.05); high lactate clearanee rate of mortality was significantly lower than