连续输液与玻尿酸剂量在败血症休克中的皮的效果:一项前性随机研究
Rashmi Salhotra1, Ajeeb Sharahudeen1, Asha Tyagi1
1Department of Anaesthesiology and Critical Care, University College of Medical Sciences and Guru Teg Bahadur Hospital, New Delhi, India.
概括
连续输液和玻尿酸催化剂同样可以在败血性休克患者中控制血糖. 这两种方法都对血糖水平,胰岛素需求和护理工作量产生了相似的影响,提供了类似的临床结果.
科学领域:
- 临界护理医学 临界护理医学
- 内分泌学 在内分泌学.
- 药理学 药理学是指药理学的学科.
背景情况:
- 皮质类固醇对感染性休克至关重要,但可以导致高血糖症,与不良结果有关.
- 在接受血管压缩剂的感染性休克患者中,管理高血糖是至关重要的.
研究的目的:
- 为了比较连续皮松输液与间歇性玻尿酸剂量对成人败血性休克患者血糖控制的疗效.
主要方法:
- 一项前性随机研究,涉及40名成年败血症休克患者.
- 患者被分配给连续输注 (200毫克/天) 或玻尿酸剂量 (50毫克IV每6小时).
- 关键结局包括血糖水平,高血糖/低血糖发作,胰岛素需求和冲击逆转.
主要成果:
- 连续输液和玻尿酸输液组之间的平均血糖水平是可比的 (p=0.921).
- 高血糖/低血糖发作,胰岛素需求和护理工作量在各组之间也相似 (p=1,000).
- 冲击逆转发生率和逆转时间没有显著差异 (p=0.113).
结论:
- 连续输液和玻尿酸剂量都同样有效地控制了性休克时的血糖水平.
- 两种方案都没有在血糖控制或临床结果方面表现出优越性.
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