多巴胺对感染性休克患者IL-8、CRP水平的影响 |
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作者姓名: | 陈伟芝 姚颖 |
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作者单位: | 西安交通大学附属红会医院,陕西 西安,710054;西安交通大学附属红会医院,陕西 西安,710054 |
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摘 要: | 目的探究多巴胺治疗感染性休克患者的临床效果。方法将50例感染性休克患者以单双号编号法随机分为试验组(25例,常规治疗+多巴胺)和对照组(25例,常规治疗)。比较两组的治疗效果。结果试验组的治疗总有效率高于对照组(P<0.05)。治疗后,两组WBC、APACHEⅡ评分、RR、HR、动脉血乳酸、PCT、TNF-α、CRP、IL-8、IL-6水平均低于治疗前,SBP高于治疗前,且试验组优于对照组(P<0.05)。试验组并发症总发生率低于对照组(P<0.05)。结论多巴胺治疗感染性休克患者的效果显著,能降低炎性因子水平以及并发症发生率,改善患者的血压、RR、HR、动脉血乳酸等指标水平。
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关 键 词: | 感染性休克 多巴胺 炎性因子 |
Effects of dopamine on IL-8 and CRP levels in patients with septic shock |
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Authors: | CHEN Weizhi YAO Ying |
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Institution: | (Honghui Hospital Affiliated to Xi'an Jiaotong University,Xi'an 710054,China) |
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Abstract: | Objective To investigate the clinical effect of dopamine in the treatment of patients with septic shock.Methods Fifty patients with septic shock were randomly divided into experimental group(25 cases,routine treatment+dopamine)and control group(25 cases,routine treatment)by odd-even numbering method.The therapeutic effects of the two groups were compared.Results The total effective rate of treatment of the experimental group was higher than that of the control group(P<0.05).After treatment,WBC,APACHEⅡscore,RR,HR,the levels of arterial blood lactic acid,PCT,TNF-α,CRP,IL-8 and IL-6 of the two groups were lower than those before treatment,SBP was higher than that before treatment,and those in the experimental group were better than the control group(P<0.05).The total incidence of complications in the experimental group was lower than that in the control group(P<0.05).Conclusion The dopamine in the treatment of patients with septic shock has a significant effect,it can reduce the levels of inflammatory factors and incidence of complications,improve the patients'blood pressure,RR,HR,arterial blood lactate and other indexes levels. |
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Keywords: | septic shock dopamine inflammatory factor |
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