摘要
目的:探讨限制性液体复苏疗法在创伤性休克患者中的应用效果。方法:选取2018年1月—2022年8月广西医科大学第二附属医院收治的创伤性休克患者110例作为研究对象,随机分为对照组和观察组,各55例。对照组采用常规液体复苏治疗,观察组采用限制性液体复苏疗法。比较两组抢救效果。结果:治疗前,两组平均动脉压、中心静脉压、中心静脉血氧饱和度比较,差异无统计学意义(P>0.05);治疗后,观察组平均动脉压、中心静脉压、中心静脉血氧饱和度均高于对照组,差异有统计学意义(P<0.001)。观察组24 h尿量多于对照组,24 h输液量及器官衰竭评分低于对照组,差异均有统计学意义(P<0.001)。观察组液体复苏前准备时间、有效急救时间、休克纠正时间均短于对照组,抢救成功率高于对照组,差异有统计学意义(P<0.05)。结论:限制性液体复苏疗法在创伤性休克患者中的应用效果显著,可改善患者生命体征,改善患者器官衰竭情况,缩短急救时间,提高抢救成功率。
Objective:To explore the application effect of restricted fluid resuscitation therapy in patients with traumatic shock.Methods:A total of 110 patients with traumatic shock who were admitted to the Second Affiliated Hospital of Guangxi Medical University from January 2018 to August 2022 were selected as the study subjects.They were randomly divided into control group and observation group,with 55 cases in each group.The control group was treated with conventional fluid resuscitation and the observation group was treated with restricted fluid resuscitation.The rescue effects of the two groups were compared.Results:Before treatment,there was no significant difference in mean arterial pressure,central venous pressure and central venous oxygen saturation between the two groups(P>0.05).After treatment,the mean arterial pressure,central venous pressure and central venous oxygen saturation in the observation group were higher than those in the control group,and the differences were statistically significant(P<0.001).The 24-h urine output in the observation group was higher than that in the control group,and the 24-h infusion volume and organ failure scores in the observation group were lower than those in the control group,and the differences were statistically significant(P<0.001).The fluid resuscitation preparation time,effective first aid time and shock correction time in the observation group were shorter than those in the control group,and the rescue success rate in the observation group was higher than that in the control group,and the difference was statistically significant(P<0.05).Conclusion:The restricted fluid resuscitation therapy has a significant application effect in patients with traumatic shock,it can improve the patient's vital signs,improve the patient's organ failure,shorten the emergency time,and improve the rescue success rate.
作者
蒋艳秋
宋进
宾华威
唐晓梅
曾光
李政钊
Jiang Yanqiu;Song Jin;Bin Huawei;Tang Xiaomei;Zeng Guang;Li Zhengzhao(Emergency Department,The Second Affiliated Hospital of Guangxi Medical University,Nanning 530007,Guangxi Zhuang Autonomous Region,China)
出处
《中国社区医师》
2023年第18期22-24,共3页
Chinese Community Doctors
基金
广西自然科学基金项目(编号:2022GXNSFAA035459)
广西壮族自治区重点临床专科(创伤外科)研发专项(编号:GXKT202203302)
广西壮族自治区卫生厅科技研究计划课题(编号:Z2012080)。
关键词
限制性液体复苏疗法
创伤性休克
急救
Restricted fluid resuscitation therapy
Traumatic shock
Emergency treatment
