Application of circulatory monitoring in fluid resuscitation of patients with sepsis

ObjectiveTo explore the application value of circulatory monitoring in fluid resuscitation of patients with sepsis.

MethodsOne hundred and fifty cases of patients with sepsis in our hospital were selected as the research objects, and the patients were divided into observation group (n=75) and control group (n=75) according to the random number table method.The control group were given traditional fluid resuscitation therapy and the observation group were given fluid resuscitation therapy based on circulatory monitoring.The blood lactic acid, lactic acid clearance and cardiac output (CO) and prognosis of all cases were recorded.

ResultsAfter 3 hours of treatment, the blood lactic acid value of the two groups were lower than before treatment (P < 0.01).The lactic acid clearance rate and CO were higher than before treatment (P < 0.01).The SOFA score and APACHE Ⅱ score of the two groups after 7 days of treatment were lower than that of the baseline (P < 0.01) and the observation group were lower than the control group (P < 0.01).After 28 days of treatment, the acute renal failure, multiple organ dysfunction and mortality of the observation group were lower than those of the control group (P < 0.01).

ConclusionsThe application of circulatory monitoring in fluid resuscitation of sepsis patients can improve cardiopulmonary function and continue to improve the prognosis of patients.