摘要
目的探讨产科失血性休克患者应用限制性液体复苏治疗的临床效果。方法 2015年3月—2018年3月方便选取124例大理市妇幼保健院产科失血性休克患者,随机分组,观察组与对照组各62例,观察组采用限制性液体复苏治疗,对照组采用常规液体复苏治疗,观察治疗效果。结果观察组复苏时间(3.3±1.0)h、输血量(1 329.8±256.4)mL、输液量(1 904.6±227.8)mL、复苏后出血量(127.6±16.2)mL、住院时间(6.8±1.3)d、并发症发生率9.7%、血气剩余碱(1.7±0.1)mmol/L,均低于对照组(4.5±1.2)h、(1 938.6±356.1)mL、(3 316.3±369.7)mL、(351.2±40.6)mL、(9.5±1.5)d、37.1%、(2.7±0.2)mmol/L,凝血酶原时间(14.6±2.7)s,高于对照组(12.7±1.2)s,差异有统计学意义(t=4.361、8.034、12.619、6.327、5.854、6.317、4.562、5.038,P<0.05)。结论产科治疗失血性休克患者时,限制性液体复苏有利于提升治疗效果,尽快止血,使患者尽早康复出院。
Objective To investigate the clinical effect of restrictive fluid resuscitation in patients with obstetric hemorrhag- ic shock. Methods A total of 124 patients from March 2015 to March 2018 were convenient selected with hemorrhagic shock in the Department of Obstetrics and Gynecology, Dali City Maternal and Child Health Hospital were enrolled. The patients were randomly divided into the observation group and the control group. The observation group was treated with re- strictive fluid resuscitation. The control group was treated with conventional fluid resuscitation to observe the therapeutic effect. Results In the observation group, the recovery time was （3.3±1.0）h, the blood transfusion volume （1 329.8±256.4）mL, the infusion volume （1 904.6±227.8）mL, the post-recovery blood loss volume （127.6±16.2）mL, and the hospitalization time （6.8±1.3）d. The complication rate was 9.7%, and the residual blood gas （1.7±0.1）mmol/L was lower than the control group （4.5±1.2）h, （1 938.6±356.1）mL, （3 316.3±369.7）mL, （351.2 ±40.6）mL, （9.5±1.5）d, 37.1%, （2.7±0.2） retool/L, prothrombin time（14.6 ± 2.7） s, higher than the control group（12.7±l.2）s, the difference was significant（t= 4.361, 8.034, 12.619, 6.327, 5.854, 6.317, 4.562, 5.038, P〈0.05）. Conclusion When obstetrics treats patients with hemorrhagic shock, restrictive fluid resuscitation is beneficial to improve the therapeutic effect, stop bleeding as soon as possible, and enable patients to recover and discharge as soon as possible.
作者
董碧筠
DONG Bi-yun(Dali Maternal and Child Health Hospital,Dali,Yunnan Province,671000 China)
出处
《中外医疗》
2018年第31期107-109,共3页
China & Foreign Medical Treatment
关键词
限制性液体复苏
产科
失血性休克
治疗效果
Restrictive fluid resuscitation
Obstetrics
Hemorrhagic shock
Therapeutic effect
