限制液体复苏在创伤失血性休克患者急救中的应用效果

目的观察限制液体复苏在创伤失血性休克患者急救中的应用效果。方法选取福建医科大学附属南平市第一医院收治的76例创伤失血性休克患者作为研究对象,依据入院前后顺序将其分为对照组(n=38)和观察组(n=38),对照组接受积极液体复苏方案,观察组接受限制液体复苏方案,比较两组治愈率、治疗后各指标水平、液体输入量及并发症发生情况。结果观察组治愈率明显高于对照组,液体输入量明显低于对照组,差异有统计学意义(P<0.05);治疗后观察组乳酸、凝血酶原时间、平均动脉压及血红蛋白水平均明显优于对照组,差异均有统计学意义(P<0.05);观察组并发症发生率为15.8%,明显低于对照组的36.8%,差异有统计学意义(P<0.05)。结论限制液体复苏应用在创伤失血性休克患者急救中,可提高患者的治愈率,改善乳酸、凝血酶原时间等指标水平,降低并发症发生率的效果优于积极液体复苏应用效果。

Application of limited fluid resuscitation in emergency treatment of patients withtraumatic hemorrhagic shock

Objective To observe effects of limited fluid resuscitation in emergency treatment of patients with traumatic hemorrhagic shock.Methods 76 patients with traumatic hemorrhagic shock admitted to the Nanping First Hospital Affiliated to Fujian Medical University were selected as the research subjects.They were divided into the control group(n=38)and the observation group(n=38)according to the order of admission.The control group received an aggressive fluid resuscitation regimen,while the observation group received the limited fluid resuscitation regimen.The cure rate,levels of various indicators,fluid input,and complications were compared between the two groups.Results The cure rate in the observation group was significantly higher than that in the control group;the amount of fluid input was significantly lower than that in the control group;and the difference was statistically significant(P<0.05).After the treatment,the lactate level,prothrombin time,mean arterial pressure,and hemoglobin levels in the observation group were significantly better than those in the control group,and the differences were statistically significant(P<0.05).Further,the incidence of complications in the observation group was 15.8%,which was significantly lower than the 36.8%in the control group,and the difference was statistically significant(P<0.05).Conclusions Limited fluid resuscitation in the emergency treatment of the patients with traumatic hemorrhagic shock can improve the cure rate,improve the levels of indicators such as lactate level,prothrombin time,and reduce the incidence of complications.Moreover,it is superior to aggressive fluid resuscitation.