Clinical application value of early bundle therapy in patients with septic shock after percutaneous nephrolithotomy
10.3969/j.issn.1671-8348.2015.08.009
- VernacularTitle:早期集束化治疗在经皮肾镜碎石术后感染性休克患者的应用价值
- Author:
Qiaosheng WANG
;
Hua SU
;
Hui FU
;
Zhengliang ZHAO
;
Shilin TANG
;
Xiaotao LI
;
Qiong LUO
- Publication Type:Journal Article
- Keywords:
percutaneous nephrolithotomy;
septic shock;
bundle therapy
- From:
Chongqing Medicine
2015;(8):1039-1040,1043
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the clinical application value of early bundle therapy in patients with septic shock after per‐cutaneous nephrolithotomy(PCNL) .Methods The retrospective analysis was conducted patients with septic shock after PCNL ad‐mitted to the central ICU of the First Affiliated Hospital ,University of South China from January 1st ,2011 to september 30 ,2013 . The patients were divided into non‐bundle therapy group and bundle therapy group according to whether treated by early bundle therapy .the APACHE‐Ⅱscore and SOFA score in the before and 1 ,3 ,7 d after treatment ,mortality rate within 28 d and length of ICU were compared with both groups .Results 54 patients were enrolled in the study ,there were 28 and 26 patients in non‐bundle therapy group and bundle therapy group ,respectively .The clinical data of patients in both groups had no significant difference be‐tween the groups ,all P>0 .05 .Compared with the patients in non‐bundle therapy group ,the APACHE‐Ⅱscore and SOFA score in 1 ,3 ,7 d after treatment significantly decreased in bundle therapy group ,all P<0 .05 .mortality rate in bundle therapy group and non‐bundle therapy group were 15 .38% and 35 .71% ,respectively ,P<0 .05 ;and length of ICU were(9 .04 ± 4 .48)d and(7 .00 ± 2 .32)d ,respectively ,P<0 .05 .Conclusion Early bundle therapy can effectively alleviate the severity of the disease and reduce mor‐tality of patients with septic shock after PCNL .
