摘要
目的研究抗休克服在院前创伤失血性休克(THS)急救中的作用。方法以2015年9月至2017年10月,江苏省镇江市急救中心在院前抢救的569例THS患者为研究对象进行回顾性病例对照研究,其中男性375例,女性194例;年龄14~94岁,平均(39.5±2.7)岁。随机将患者分为对照组(298例)和试验组(271例)。对照组在院前采用常规抢救处理流程(监测生命体征、创口包扎、骨折固定以及开放静脉通路快速补液,并迅速转运至就近的医院做进一步处理);试验组患者在院前常规抢救流程基础上使用抗休克服进行复苏治疗,同时做好抗休克服气囊压力值记载,记录两组患者救治过程中的心率、血压。比较两组在相同的休克指数区间的患者在经过抢救后的心率和收缩压改善情况。结果在相同的休克指数区间,实验组患者的收缩压与心率的改善率高于对照组常规抢救组,差异有统计学意义(P<0.05),而且所需要的时间更短。结论在THS患者处于休克状态时,及时使用抗休克服能更快稳定其生命体征,提高生存率。
Objective To study the role of anti-shock clothing in the first aid of pre-hospital traumatic hemorrhagic shock(THS). Methods A retrospective case-control study was conducted on 569 patients with THS who were rescued in Zhenjiang Emergency Center from September 2015 to October 2017. Among them, 375 were males and 194 were females, aged from 14 to 94 years, with an average of(39.5+2.7) years. The patients were randomly divided into control group(298 cases) and experimental group(271 cases). The control group was treated with routine rescue process before hospital(monitoring vital signs, wound bandaging, fracture fixation and rapid fluid infusion through open venous access, and quickly transferred to nearby hospitals for further treatment); the experimental group was treated with anti-shock suit for resuscitation on the basis of routine pre-hospital rescue process, and the pressure value of anti-shock suit balloon was recorded well, and the two groups were recorded. Heart rate and blood pressure during treatment. The improvement of heart rate and systolic blood pressure were compared between the two groups in the same shock index range after rescue. Results Within the same shock index range, the improvement rate of systolic pressure and heart rate in the experimental group was higher than that in the control group(P< 0.05), and the time needed was shorter. Conclusions When THS patients are in shock state, timely use of anti-shock clothing can stabilize their vital signs faster and improve survival rate.
引文
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