急诊脓毒症患者早期集束化救治管理效果评价
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女,本科,主管护师

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温州市科技计划项目(Y20240422 )


Evaluation of the effectiveness of early bundled treatment in emergency department sepsis patients
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    目的 探究早期集束化救治管理在急诊脓毒症患者救治中的实施效果。方法 将390例急诊脓毒症患者根据入院时间分为常规组(183例)和研究组(207例)。常规组接受常规脓毒症救治模式;研究组实施脓毒症早期集束化救治管理,包括成立脓毒症快速反应团队,设立脓毒症休克复苏单元,构建并运用脓毒症急救模块等。比较两组患者救治效果。结果 研究组血乳酸测定、液体复苏、血培养标本留取、抗生素应用、血管活性药物使用开始时间及住院时间显著短于常规组,患者病死率及住院费用显著低于常规组(均P<0.05)。结论 早期集束化救治管理能够缩短脓毒症患者急救治疗措施开始时间及住院时间、降低脓毒症患者病死率及住院费用,提高救治效果。

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    Objective To explore the implementation effect of early bundle management in the emergency treatment of sepsis patients.Methods A total of 390 emergency sepsis patients were divided into a conventional group (183 cases) and an experimental group (207 cases) chronologically. The conventional group received the standard sepsis treatment model, while the experimental group implemented early bundle management for sepsis, including the establishment of a sepsis rapid response team, a septic shock resuscitation unit, and the development and application of a sepsis emergency module, etc.The treatment outcomes of the two groups were compared.Results The experimental group showed significantly shorter times for blood lactate measurement, fluid resuscitation, blood culture collection, antibiotic administration, vasoactive drug initiation, and hospital stay compared to the conventional group, and the mortality rate and hospitalization costs were significantly lower in the experimental group (all P<0.05).Conclusion Early bundle management can shorten the initiation time of emergency treatment, reduce the length of hospital stay, and lower the mortality rate and hospitalization costs for sepsis patients, then improve their treatment effect.

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萧捷捷,陈舒畅,胡快乐,胡思思,何春雷.急诊脓毒症患者早期集束化救治管理效果评价[J].护理学杂志,2025,(11):28-32

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  • 收稿日期:2025-02-07
  • 最后修改日期:2025-03-20
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  • 在线发布日期: 2025-07-09