Authors: Jingfeng Liu Mengya Zhao Haizhou Zhuang Chong Liu Yibing Weng Ang Li Shuwen Zhang Meili Duan
Publish Date: 2013/08/23
Volume: 19, Issue: 10, Pages: 730-735
Abstract
seventy Septic shock patients were divided into four groups heat damaging qiyin group HDQY 23 cases yin exhaustion and yang collapse group YEYC 26 cases excessive heat in Fu organ group EHFO 10 cases and heat damaging nutrientblood group HDNB 11 cases Sublingual microcirculation parameters were observed by sidestream darkfield SDF imaging and scored by Acute Physiology and Chronic Health Evaluation II APACHE II and the Sequential Organ Failure Assessment SOFA and parameters of microcirculation perfusion variations and prognoses were analyzedCompared with those with qiyin heat damage perfused vessel density PVD in other groups decreased dramatically P005 and APACHE II scores increased significantly P005 In addition the recovery time was prolonged substantially P005 and the mixed venous oxygen saturation SVO2 decreased P005 Blood lactic acid increased significantly P005 and the mixed SVO decreased P005 in the YEYC group Compared with the thermal injury camp blood group sublingual microcirculation parameter variations showed no obvious difference in the YEYC and EHFO groups P005 There were significant positive correlations between CM syndromes and APACHE II scoring in different groups r=0512 P005 There were negative correlations between PVD and APACHE II scoring r=−0378 P=0043 the proportion of perfused vessels PPV and APACHE II scoring r=−0472 P=0008 as well as between the microvascular flow index MFI and APACHE II scoring r=−0424 P=0023 in different patients
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