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感染性休克患者两种药物治疗的临床效果研究

伍增龙 黄永鹏 马俊 范小龙 庞荣锋

中国医药科学Issue(21):180-181,193,3.
中国医药科学Issue(21):180-181,193,3.

感染性休克患者两种药物治疗的临床效果研究

Study on clinical effect of two drugs in the treatment of patients with infective shock

伍增龙 1黄永鹏 1马俊 1范小龙 1庞荣锋1

作者信息

  • 1. 广东省佛山市高明区人民医院ICU,广东佛山528500
  • 折叠

摘要

Abstract

Objective To study the clinical effect of vasopressin and norepinephrine in the treatment of infective shock. Methods Thirty-six inpatients with infective shock in our hospital from March 2011 to June 2013 were selected as the study objects.The patients were divided into the observation group and the control group according to different treatment methods.18 cases in the observation group were treated with vasopressin for resuscitation,while 18 cases in the control group were treated with norepinephrine for resuscitation.The blood pressure,blood gas,liver and kidney function of two groups were monitored at the same time. Results The recovery success rate within 6h in the observation group(83.3%) was significantly higher than that in the control group(50.0%).The incidence of multiple organ dysfunction syndrome(MODS) in the observation group(27.8%) was significantly lower than that in the control group(61.1%).The mortality after 1 month of treatment in the observation group(16.7%) was significantly lower than that in the control group(50.0%).There were significant differences between two groups(P<0.05).There was not significant difference in the lactate concentration before the treatment between two groups(P>0.05).The lactate clearance rate at 12h,24h after the treatment in the observation group were significantly higher than those in the control group,there were significant differences between two groups(P<0.05). Conclusion Compare with norepinephrine,vasopressin in the treatment of infective shock has higher recovery success rate and more significant improvement for tissue hypoperfusion or hypoxia,so it is worthy of application in clinic.

关键词

垂体后叶素/去甲肾上腺素/感染性休克

Key words

Vasopressin/Norepinephrine/Infective shock

分类

医药卫生

引用本文复制引用

伍增龙,黄永鹏,马俊,范小龙,庞荣锋..感染性休克患者两种药物治疗的临床效果研究[J].中国医药科学,2013,(21):180-181,193,3.

中国医药科学

2095-0616

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