加压补液法在创伤合并失血性休克患者早期急救中的应用
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摘要
目的:观察加压补液法在创伤合并失血性休克患者早期急救中的应用效果。方法:回顾性分析80例创伤合并失血性休克患者的临床资料,根据实施补液方法不同分为观察组和对照组各40例。对照组采用传统补液方法,观察组则采用加压补液法,比较两组患者的急救效果和患者并发症发生率及<1 h、1~2 h及>2 h不同时间段内的死亡率。结果:观察组患者30 min内和围手术期的总输液量均明显高于对照组,差异有统计学意义(P<0.05);观察组SBP、DBP、HR Sp O2均明显高于对照组,差异有统计学意义(P<0.05);观察组并发症总发生率和总死亡率分别为5.0%和22.9%,均明显低于对照组的20.0%和52.5%,差异有统计学意义(P<0.05)。结论:加压补液法在创伤合并失血性休克患者早期急救中的应用效果优于传统补液方法。
Objective: To observe application effects of pressurized rehydration in early emergency treatment of patients with traumatic hemorrhagic shock. Methods: The clinical data of 80 patients with traumatic hemorrhagic shock were retrospectively analyzed. According to the random number table method,these patients were divided into observation group( n = 40) and control group( n= 40). The control group used the traditional rehydration method,while the observation group used the pressurized rehydration. The emergency treatment effects,the complication rate,and the mortality rate in < 1 h,1-2 h and > 2 h were compared between the two groups. Results: The total infusion volumes of the observation group within 30 min and during the perioperative period were significantly higher than those of the control group,and the differences were statistically significant( P<0.05). The SBP,DBP and HR Sp O2 of the observation group were significantly higher than those of the control group,and the differences were statistically significant( P <0.05). The total incidence of complications and total mortality in the observation group were 5. 0% and 22. 9%,respectively,which were significantly lower than the 20.0% and 52.5% of the control group,and the differences were statistically significant( P< 0.05).Conclusions: The pressurized rehydration method in the early emergency treatment of the patients with traumatic hemorrhagic shock is superior to the traditional rehydration method.
Objective: To observe application effects of pressurized rehydration in early emergency treatment of patients with traumatic hemorrhagic shock. Methods: The clinical data of 80 patients with traumatic hemorrhagic shock were retrospectively analyzed. According to the random number table method,these patients were divided into observation group( n = 40) and control group( n= 40). The control group used the traditional rehydration method,while the observation group used the pressurized rehydration. The emergency treatment effects,the complication rate,and the mortality rate in < 1 h,1-2 h and > 2 h were compared between the two groups. Results: The total infusion volumes of the observation group within 30 min and during the perioperative period were significantly higher than those of the control group,and the differences were statistically significant( P<0.05). The SBP,DBP and HR Sp O2 of the observation group were significantly higher than those of the control group,and the differences were statistically significant( P <0.05). The total incidence of complications and total mortality in the observation group were 5. 0% and 22. 9%,respectively,which were significantly lower than the 20.0% and 52.5% of the control group,and the differences were statistically significant( P< 0.05).Conclusions: The pressurized rehydration method in the early emergency treatment of the patients with traumatic hemorrhagic shock is superior to the traditional rehydration method.
引文
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[10]金倩倩,陈瑞敏,高岭燕,等.1例颈总动脉破裂伴椎管异物患者的急救护理[J].护理学报,2017,24(14):60-61.
[11]杨焱平,杨开超,仲伟喜,等.创伤男性血清骨钙素水平与糖脂代谢的关系[J].中华急诊医学杂志,2017,26(5):517-521.
[12]陈晓明,朱娱,吴跃,等.雌激素诱导外周血间充质干细胞动员和归巢促进失血性休克大鼠创面愈合的作用[J].感染、炎症、修复,2017,18(1):6-11.
[2]郭明清,王林,张慧,等.不同补液方式在创伤合并失血性休克早期急救中的临床应用[J].现代生物医学进展,2015,15(36):7168-7170.
[3]杨光明,李涛,徐竞,等.血管加压素院前维持血压对非控制性出血性休克大鼠的治疗作用[J].中国临床药理学与治疗学,2015,20(3):241-245.
[4]何忠杰,盛志勇.再论战伤自救互救[J].解放军医学杂志,2015,40(11):857-861.
[5]赵荣忠,魏丽丽.加温输液联合参附注射液在创伤性休克并发低体温中的应用效果观察[J].河北中医,2016,38(7):1078-1080.
[6]金倩倩,陈瑞敏,高岭燕,等.1例颈总动脉破裂伴椎管异物患者的急救护理[J].护理学报,2017,24(14):60-61.
[7]郝继山,季庆,孙清,等.限制性液体复苏对颅脑损伤合并多发伤的疗效[J].中华创伤杂志,2015,31(2):124-127.
[8]何忠杰,盛志勇.再论战伤自救互救[J].解放军医学杂志,2015,40(11):857-861.
[9]张灿,张均辉,张东霞,等.252例严重烧伤患者心肌损伤情况的回顾性研究[J].中华烧伤杂志,2016,32(5):260-265.
[10]金倩倩,陈瑞敏,高岭燕,等.1例颈总动脉破裂伴椎管异物患者的急救护理[J].护理学报,2017,24(14):60-61.
[11]杨焱平,杨开超,仲伟喜,等.创伤男性血清骨钙素水平与糖脂代谢的关系[J].中华急诊医学杂志,2017,26(5):517-521.
[12]陈晓明,朱娱,吴跃,等.雌激素诱导外周血间充质干细胞动员和归巢促进失血性休克大鼠创面愈合的作用[J].感染、炎症、修复,2017,18(1):6-11.