早期容量复苏和控制高血糖反应对多器官功能障碍（MODS）预后的影响

目的探讨早期容量复苏和控制高血糖反应对MODS预后的影响。方法将76例MODS患者随机分成两组，治疗组（40例）入住ICU早期（6h）内即进行容量复苏和控制高血糖反应的治疗；对照组（36例）按常规方法治疗，比较两组患者的APACHEⅡ评分、ICU住院时间、ICU病死率。结果治疗组的24h和48hAPACHEⅡ在评分、ICU住院时间、ICU病死率明显优于对照组（P〈0．05）。结论早期容量复苏和控制高血糖反应可明显改善MODS的预后。

The influence of early volume resuscitation and control of hyperglycemia to prognosis of multiple organ dysfunction prognosis

Objective To evaluate the influence of early volume resuscitation and control of hyperglycemia to prognosis Of multiple organ dysfunction. Methods 76 patients with MODS were randomly divided into two groups, treatment group （40 cases） admitted to the ICU accept the treatment of volume resuscitation and control of hyperglycemia in early 6 hours, while the control group （36 cases） accept the treatment of conventional methods. And toCompared two groups of patients with APACHE II score, length of stay in ICU, mortality in ICU. Results Treatment group of was significantly better than the control group with APACHE II score, length of stay in ICUandmortality in ICU after 24 or 48 hours（P〈0.05）.Conclusion Early volume resuscitation and control of hyperglycemia can significantly improve the prognosis of MODS.