Impact of early goal-directed therapy fluid management strategies on prognosis in patients with septic shock
早期目标导向治疗的液体管理策略对感染性休克患者预后的影响

摘要

目的 探讨分析对感染性休克病患进行早期目标导向治疗的液体管理策略的影响。方法 选择我院收治的感染性休克病患120例，将其120例研究对象按照随机分组方法分为对照组（60例，使用常规液体管理）和干预组（60例，采用早期目标导向治疗的液体管理），对两组的治疗效果进行收集和分析。结果 两组在治疗后均有一定好转，从治疗有效率方面对比可知，干预组的治疗有效率明显高于对照组；从死亡率方面对比可知，干预组的死亡率低于对照组；从休克复苏治疗情况方面对比可知，干预组休克患者复苏治疗情况优于对照组，差异均有统计学意义（P＜0.05）。结论 在感染性休克病患的治疗过程中，使用早期目标导向治疗的液体管理策略，能够降低病患的死亡率，且在治疗时治疗有效率更高、休克复苏情况更乐观，具有很大的临床推广应用价值。

Abstract

Objective To investigate the impact of fluid management strategies on early goal-directed therapy for patients with septic shock.
Methods 120 patients with septic shock admitted to our hospital were selected and randomly divided into control group (60 cases, using conventional fluid management) and intervention group (60 cases, using early goal-oriented therapy). Fluid management), the treatment effects of the two groups were collected and analyzed.
Results Both groups improved to a certain extent after treatment. From the comparison of treatment efficiency, the treatment efficiency of the intervention group was significantly higher than that of the control group; from the comparison of mortality, the mortality of the intervention group was lower than that of the control group; from shock The comparison of resuscitation treatment showed that the resuscitation treatment of shock patients in the intervention group was better than that in the control group, and the differences were statistically significant (P<0.05).
Conclusion   During the treatment of patients with septic shock, the use of early goal-directed therapy fluid management strategy can reduce the mortality of patients, and has a higher treatment efficiency and more optimistic shock recovery during treatment, which has a great effect. Clinical application value.