Zhongguo wei zhong bing ji jiu yi xue = Chinese critical care medicine = Zhongguo weizhongbing jijiuyixue
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Zhongguo Wei Zhong Bing Ji Jiu Yi Xue · Jan 2012
Randomized Controlled Trial[Short-term intensive glucose control in patients with severe acute pancreatitis].
To investigate effects of intensive glucose control (IGC) on glucose variability (GV) and clinical outcomes in patients with severe acute pancreatitis (SAP), and to assess predictive values of different measures of GV on intensive care unit (ICU) death. ⋯ IGC had an effect to reduce GV, decrease ICU mortality, shorten length of ICU stay, and lower the incidence of infection. Compared with GLU(SD) and GLU(MAGE), GLU(GLI) was the best predictor of ICU death.
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Zhongguo Wei Zhong Bing Ji Jiu Yi Xue · Jan 2012
Randomized Controlled Trial[The effect of early goal lactate clearance rate on the outcome of septic shock patients with severe pneumonia].
To observe the clinical effects of 10%, 30% lactate clearance rate and early goal-directed therapy (EGDT) as 6-hour resuscitation goals directing treatment in septic shock patients with severe pneumonia. ⋯ For the septic shock patients with severe pneumonia, prompt archiving EGDT strategy and 6-hour lactate clearance more than 30% were associated with an optimal outcome.
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Zhongguo Wei Zhong Bing Ji Jiu Yi Xue · Jan 2012
Controlled Clinical Trial[The clinical application and value of intra-aortic balloon pump in patients with septic shock].
To investigate the clinical efficacy and value of intra-aortic balloon pump (IABP) with vasoactive drugs for septic shock patients. ⋯ IABP in patients with septic shock significantly improved hemodynamics, increased coronary and systemic tissue perfusion, reduced cardiac afterload, elevated CI, reduced doses of vasoactive drugs, shortened length of ICU stay, improved prognosis, and lowered the mortality rate. IABP had important clinical value, and could be recommended as an additional treatment option in patients with septic shock in whom the effect of drug was poor.
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Zhongguo Wei Zhong Bing Ji Jiu Yi Xue · Jan 2012
[The association between early blood glucose fluctuation and prognosis in critically ill patients].
To investigate the association between early blood glucose level fluctuation and prognosis of critically ill patients. ⋯ Early fluctuation of blood glucose is a significant independent risk factor of mortality in critically ill patients. Control the early fluctuation of blood glucose concentration might improve the patients' outcome.
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Zhongguo Wei Zhong Bing Ji Jiu Yi Xue · Jan 2012
Review Meta Analysis[The effect of an optimized resuscitation strategy on prognosis of patients with septic shock: a systematic review].
To determine the treatment effect of an optimized resuscitation strategy on prognosis of patients with septic shock. ⋯ This meta-analysis found that the application of an early optimal resuscitation strategy to patients with septic shock imparts a significant reduction in mortality and incidence of MODS.