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1、连续血液净化用于重症脓毒症治疗疗效观察摘要：目的对重症脓毒症患者予以连续血液净化治疗的临床效果进行剖析。方法遵循随机原则选取2014年9月〜2015年9月于我院接受诊疗的重症脓毒症患者76例，并将其以每组38例平均分为普通组与特殊组。给予普通组患者进行常规治疗，对特殊组患者则在前者治理基础上进行连续血液净化，然后对两组患者的临床表现和疗效进行记录与比较。结果特殊组患者痊愈21例，改善17例，不存在失效病例，临床总有效率为100.00%；而普通组患者痊愈11例，改善18例，失效9例，临床总有效率为76.3
2、2%,前者疗效明显大于后者，且两者数据差异具有统计学意义(P<0.05)o同时，特殊组与普通组患者在各项生命指标和不良反应发生情况两方面上均存在统计学差异(前者优于后者，P<0.05)o结论采用常?治疗结合连续血液净化对重症脓毒症患者进行深入治疗，除可获得理想的疗效外，亦可同时抑制不良反应的发生，值得大力推广。关键词：连续血液净化；重症脓毒症；疗效ContinuousBloodPurificationfortheTreatmentofSevereSepsisSUNIlan-gao(ICU,DazhuCo
3、untyPeople，sHospital,Dazhu635100,Sichuan,China)Abstract：ObjectiveTopatientswithseveresepsisbycontinuousbloodpurificationtreatmentoftheclinicaleffectwereanalyzed.MethodsAccordingtorandomlyselectedfromSeptember2014toSeptember2015inourhospital76patientswith
4、severesepsisinthediagnosisandtreatmentofpatients,andto38casesineachgroupweredividedintonormalgroupandspecialgroupsofpatientsweregivennormalgroup.Theroutinotreatment,patientsintheformergroupofspecialgovernanceonthebasisofcontinuousbloodpurification,andthe
5、ncomparedwiththerecordsofclinicalmanifestationsandcurativeeffectoftwogroupsofpatients・ResultsThespecialgroupof21caseswerecured,17casesimproved,thereisnofailurecases,thetotalclinicaleffectiveratewas100.00%；normalgroup11caseswerecured,18casesimproved,9case
6、sineffective,thetotalclinicaleffectiveratewas76.32%,theformerissignificantlylargerthanthelatter,andtherewasasignificantdiffereneebetweenthetwodata(P<0.05).Atthesametime,thespecialgroupemdcommongroupofpatientsinthelifeindexandadversereactionincideneethere
7、werestatisticallysignificantdifferencestwoaspects(theformerisbetterthanthelatter,P<0.05)•ConclusionTheroutinetreatmentofcontinuousbloodpurificationforfurthertreatmentofpatientswithseveresepsisincombination,canachieveidealcurativeeffeccanalsoinhibittheocc
8、urreneeofadversereactions,itisworthpopularizing.Keywords:Continuousbloodpurification；Severesepsis；Curativeeffect医学上将由感染所引发的全身性炎症反应综合征称为脓毒症，且据临床科学研究表明其不仅存在细菌而且亦具有高度可疑感染灶，严重危害人类健康，是导致近年来重症监护病房患者死亡率逐步上升的主要疾病之一[1-2]o就脓毒症的发病根源而
