本文選題：應(yīng)用時(shí)機(jī) + 重度膿毒癥��； 參考：《中國(guó)老年學(xué)雜志》2016年22期

【摘要】：目的探究不同應(yīng)用時(shí)機(jī)下重度膿毒癥老年患者行連續(xù)性血液凈化(CBP)的效果。方法按照急性生理學(xué)與慢性健康狀況評(píng)分系統(tǒng)(APACHE)Ⅱ評(píng)分≥20分的標(biāo)準(zhǔn)選取重度膿毒癥老年患者85例隨機(jī)分成對(duì)照組和實(shí)驗(yàn)組,兩組給予早期器官功能支持治療和CBP治療,其中實(shí)驗(yàn)組接受早期CBP治療;觀察兩組APACHEⅡ評(píng)分、多器官障礙綜合征(MODS)評(píng)分、MODS發(fā)生率及病死率。結(jié)果治療后48 h實(shí)驗(yàn)組氧合指數(shù)(PaO_2/FiO_2)〔(276.2±56.2)mm Hg〕高于對(duì)照組〔(205.3±58.5)mm Hg,P0.05〕。治療2 w后實(shí)驗(yàn)組MODS發(fā)生率(14.3%)低于對(duì)照組(32.6%,P0.05)。治療2 w后實(shí)驗(yàn)組病死率(4.7%)明顯低于對(duì)照組(14.0%,P0.05)。結(jié)論早期CBP治療可改善患者的預(yù)后,療效顯著。
[Abstract]:Objective to investigate the effect of continuous blood purification (CBP) in elderly patients with severe sepsis. Methods Eighty-five elderly patients with severe sepsis were randomly divided into control group and experimental group according to acute physiology and chronic health status scoring system Apache 鈪，

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