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| Impact of rapid response system combined with PiCCO monitoring on the effect of liquid resuscitation and prognosis of patients with infectious shock |
| LU Wenfeng |
| Intensive Care Unit, People′s Hospital of Ya′an City, Sichuan Province, Ya′an 625000, China |
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Abstract Objective To approach influence of rapid response system combined with PiCCO monitoring Oon the effect of liquid resuscitation and prognosis of patients with infectious shock. Methods A total of 210 cases infectious shock patients in People′s Hospital of Ya′an City from September 2017 to January 2019 were selected as observation object, they were divided into two groups by different admission time，100 patients from September 2017 to June 2018 were as the control group (regular management model), 110 patients from July 2018 to January 2019 were as the observation group (RRT combined with PICCO monitor). The mean arterial pressure (MAP), blood lactic acid level, urine volume, vascular active drugs score and APACHE Ⅱscore of two groups before and after 3 d of treatment were detected, the mechanical ventilation time, check in ICU time, vasoactive drugs time, recovery success rate, pulmonary edema rate and death rate of two groups were observed. Results Before the treatment, there was no statistically significant difference in the MAP, blood lactate levels, urine, blood vessels, active drug score and APACHE Ⅱ score comparison of two groups, (P > 0.05). After 3 d of treatment，the MAP, urine volume increased in two groups, and the observation group was higher than control group，there were statistically significance differences (P ＜ 0.05). Blood lactic acid level, vasoactive agent score and APACHE Ⅱ score of two groups were decreased, and the observation group was lower than control group, the differences were statistically significance (P ＜ 0.05). The duration of mechanical ventilation, intensive care unit stay and use of vasoactive drugs in the observation group were shorter than those in the control group, the success rate of resuscitation in the observation group was higher than that in the control group, and the incidence and mortality of pulmonary edema were lower than those in the control group, there were statistically significance differences (P ＜ 0.05). Conclusion The application of infectious shock patients liquid resuscitation result and prognosis by RRT combined with PiCCO monitor，which could improve liquid resuscitation result，increase pulmonary edema rate，decrease death rate，it is worth to be used.
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