限制性液体复苏对失血性休克患者氧代谢及肝肾功能的影响观察

目的:探讨研究限制性液体复苏对失血性休克患者氧代谢及肝肾功能的影响。方法:选取2010年3月～2012年11月于本院进行常规液体复苏干预的26例失血性休克患者为对照组,并将同一时期进行限制性液体复苏干预的26例患者设为观察组,然后将两组患者治疗干预前与治疗干预后30min、60min及120min氧代谢及肝肾功能指标进行比较。结果:观察组治疗干预后30min、60min及120min氧代谢及肝肾功能指标均明显优于对照组,并且观察组治疗后120min明显优于其他时间段,P均<0.05,两组上述指标之间均有显著性差异。结论:限制性液体复苏对失血性休克患者氧代谢及肝肾功能的影响优于常规的液体复苏,对于改善氧供状态及保护器官功能具有积极的作用。

Influence of limited fluid resuscitation on oxygen metabolism and function of liver and kidney of patients with hemorrhagic shock

Objective:To study the influence of limited fluid resuscitation on oxygen metabolism and function of liver and kidney of patients with hemorrhagic shock.Methods:A total of 26 patients with conventional liquid resuscitation in our hospital from March 2010 to November 2012 were selected as control group,and another 26 cases treated with limited fluid resuscitation at the same time were selected as observation group.Oxygen metabolism and function of liver and kidney indexes of two groups before the treatment and at 30 min,60 min and 120 min after the treatment were compared.Results:Oxygen metabolism and function of liver and kidney indexes of observation group at 30 min,60 min and 120 min after the treatment were all significantly better than those of control group,and those indexes of observation group at 120 min after the treatment were significantly better than those of other times(all P<0.05).Conclusions:Limited fluid resuscitation has more satisfactory effect on oxygen metabolism and function of liver and kidney of patients with hemorrhagic shock than that of conventional liquid resuscitation,and it plays an active role in improving the oxygen supply status and protecting the organ function.