严重烧伤患者休克期补液量的影响因素分析  

Analysis on influence factors of shock stage fluid volume in severe burn patients

作　　者：陈粹[1] 范友芬[1] 张淳[1] 张国安[2] 

机构地区：[1]宁波市第二医院烧伤科,浙江宁波315010 [2]北京积水潭医院烧伤科,北京100035

出　　处：《中国现代医生》2013年第32期26-28,共3页China Modern Doctor

基　　金：国家自然科学基金(81071550)

摘　　要：目的 分析严重烧伤患者休克期补液量的影响因素.方法 对2008年1月～2013年3月来我院就诊治疗的88例严重烧伤患者的临床资料进行回顾性分析,其烧伤面积均不低于50％TBSA,比较是否伴有吸入性损伤、是否气管切开进行治疗、是否使用悬浮床治疗、对第一个24 h、第二个24h的平均晶体量、平均胶体量、平均水分及平均补液总量的影响.结果 ①第一个24 h的平均晶体量、平均胶体量、第二个24h平均胶体量在单纯组、轻度组、中度组及重度组患者间具有显著性差异（P＜0.05）;②气管切开组第一个24 h的平均晶体量、平均胶体量与非气管切开组比较,具有显著性差异（P＜0.05）;③悬浮床治疗组第二个24h平均胶体量与非悬浮床治疗组比较,具有显著性差异（P＜0.05）.结论 临床上应该重视补液量的影响因素,做到个体化补液,提高治疗有效率.Objective To analyze the affecting factors of severe burn patients in shock stage fluid volume. Methods The clinical data of 88 cases with severe burn selected from January 2008 to March 2013 in our hospital were retro- spectively analyzed, the burn area shall were not be less than 50%TBSA, The effect of inhalation injury, traeheotomy for treatment, whether the suspension bed treatment, the use of specific wound treatment to the first 24 hours, second 24 hours average crystal volume, average volume of colloid, average moisture and total average fluid were compared. Results （1）There were significant difference in the average crystal volume and average volume of colloid of the first 24 hours, average volUme of colloid of the second 24 hours among the simple group, mild group, moderate group and severe group （P 〈 0.05）. （2）First average crystal 24 hours, average volume of colloid in the traeheotomy group were significantly higher than non tracheotomy group, there were significant differences between two groups （P 〈 0.05 ）. （3） The second 24 hour average volume of colloid in the suspension bed treatment group was significantly higher than non suspension bed treatment group, there were significant differences between two groups （P 〈 0.05）. Conclusion Clinical should pay attention to the factors affecting the amount of fluid, to achieve individual rehydration, improve the treat- ment efficiency.

关 键 词：补液量 休克期 烧伤 影响因素 

分 类 号：R644[医药卫生—外科学]