早期高容量血液滤过对感染性休克患者预后的影响分析

目的探讨早期高容量血液滤过对感染性休克患者预后的影响。方法选取该院2008年2月至2013年9月收治的80例感染性休克患者,分为对照组和观察组,2组均给予常规对症支持治疗。观察组于6h内行早期高容量血液滤过治疗,对照组于6h后行高容量血液滤过治疗。比较2组脏器功能恢复情况,APACHEⅡ评分、MODS评分改善情况。结果治疗24h后观察组患者各脏器好转程度显著优于对照组。观察组治疗后APACHEⅡ评分、MODS评分也显著优于对照组,差异均有统计学意义（P〈0.05）。结论早期高容量血液滤过对感染性休克患者预后具有积极的临床意义。

Impact analysis of early high volume hemofiltration on the prognosis of patients with septic shock

Objective To study the early high volume hemofiltration on the prognosis of patients with septic shock .Methods The patients from February 2008 to August 2013 were diagnosed with septic shock to start HVHF time interval is divided into control group and observation group .Two groups were given conventional support treat-ment and high volume hemofiltration treatment .Viscera function recovery ,APACHE Ⅱ score ,MODS score to im-prove the situation of two groups were compared .Results The treatment of patients with 24 hours each viscera de-gree improved significantly which in better than the those of control group .APACHE Ⅱ score ,MODS score of ob-servation group after treatment were significantly better than those control group ,the difference was statistically sig-nificant（P〈0 .05） .Conclusion Early high volume hemofiltration can plays an active role in the prognosis of patients with septic shock .