摘要
目的探讨限制性液体复苏在产科失血性休克治疗中应用的效果。方法抽取我院在2009年3月～2012年9月期间收治的60例产科失血性休克的临床资料进行回顾性分析，根据液体复苏方法的不同分为充分液体复苏组（对照组）和限制性液体复苏组（观察组），每组各30例，观察两组治疗效果，并且针对两组患者治疗前后以及满意度情况进行评价分析。结果对照组在治疗过程中的血压值、凝血酶原时间、血气剩余碱（BE）、死亡率分别为（51．66±11．21）mmHg、（12．6±1．2）s、（2．6±1．1）mmol／L、6．7％，而观察组则分别为（62．56±10．23）mmHg、（14．5±2．6）s、（1．9±1．2）mmol／L、3．3％。与对照组相比，观察组各个方面治疗结果均良好，两组之间比较，差异有统计学意义（P〈0．05）。结论产科失血性休克限制性液体复苏治疗方法，可通过复苏液体量及速度控制，有效维持重要脏器的灌注和氧供，减少妊娠期失血性休克的再出血率及死亡发生率，对休克治疗具有积极意义，值得If缶床推广与应用。
Objective To study the application effect of limited fluid resuscitation in the treatment of obstetrical hemorrhagic shock. Methods 60 cases with obstetrical hemorrhagic shock in our hospital from May 2009 to September 2012 were selected and retrospectively analyzed. The patients were divided into adequate fluid resuscitation group （the control group） and limited fluid resuscitation group（the observation group） according to the different fluid resuscitation methods, each group had 30 cases, observed the clinical affect of the two groups, and analyzed the satisfaction and situation before and after the treatment. Results The blood pressure value, thrombin original time, flesh remaining alkali （BE）, and mortality of the control group were respectively （51.66 ± 11.21）mm Hg, （12.6 ± 1.2）s, （2.6 ± 1.1） mmol/L, 6.7%. The blood pressure value, thrombin original time, flesh remaining alkali （BE）, and mortality of the observation group were respectively （62.56 ±10.23） mm Hg, （14.5 ± 2.6）s, （1.9 ± 1.2） mmol/L, 3.3%. Compared with the control group, the observation group was better, there was different between the two groups, the difference had statistically significant （P 〈 0.05）. Conclusion Limited fluid resuscitation in the treatment of obstetrical hemorrhagic shock, can be controlled by fluid resuscitation amount and speed, it can effectively maintain importanl organ perfusion and oxygen delivery, reduce rebleeding rate and death incidence of hemorrhagic shock in pregnancy, it is positive in shock therapy, it＇s worthy for clinical application.
出处
《中国医药科学》
2013年第16期202-203,共2页
China Medicine And Pharmacy
关键词
限制性液体
复苏
产科失血性休克
治疗
应用
Limited fluid
Recovery
Obstetrical hemorrhagic shock
Treatment
Application
