限制性补给液在产后失血性休克中的应用效果  

Application effect of restrictive replenishment fluid in postpartum hemorrhagic shock

作　　者：周键 ZHOU Jian(Department of Gynecology,the First Hospital of Longhai City,Zhangzhou City,Fujian Province,Longhai 363100,China)

机构地区：[1]福建省漳州市龙海市第一医院妇产科

出　　处：《中国当代医药》2019年第14期128-130,共3页China Modern Medicine

摘　　要：目的探讨限制性补给液在产后失血性休克中的应用效果。方法选取2016年3月~2018年3月我院收治的32例产妇作为研究对象,产妇均有不同程度的产后失血性休克表现,按照随机抽签法将产妇分为观察组(16例)和对照组(16例)。产妇出现休克后马上采取急救措施,观察组产妇出现休克后开通两条静脉通路,一条限制性输入氯化钠羟基乙基淀粉,根据情况对液体速度进行微调,另一条输入必要的抢救药物和抗生素;对照组进行常规液体复苏措施,利用林格液进行输液,完成后输入胶体液维持动脉压,另一条也输入抢救药物和抗生素。对产妇的输液量、出血量、输血量、治疗总有效率、平均动脉压(MAP)、红细胞比容(HCT)及中心静脉压(CVP)进行比较。结果观察组产妇在治疗过程中的输液量、出血量及输血量均明显少于对照组,差异有统计学意义(P<0.05)。观察组产妇的治疗总有效率为93.75%,高于对照组的56.25%,差异有统计学意义(P<0.05)。观察组产妇治疗后1h的MAP、CVP、HCT均高于同组治疗后0.5h,差异有统计学意义(P<0.05);治疗后0.5 h以及治疗后1h,观察组产妇的MAP、CVP、HCT均高于对照组,差异有统计学意义(P<0.05)。结论对产后失血性休克产妇使用限制性补给液能减少出血量,同时也能减少输液量,保证失血性休克产妇的血流动力学稳定,纠正异常凝血功能,提升治疗成功率,值得临床上推广应用。Objective To explore the application effect of restrictive replenishment fluid in postpartum hemorrhagic shock. Methods A total of 32 cases of maternal women who were admitted to our hospital from March 2016 to March 2018 were selected as subjects,and all of them had different degrees of postpartum hemorrhagic shock. They were divided into the observation group (16 cases) and the control group (16 cases) according to random sampling method. First-aid measures were taken immediately after the shock occurred in the women. The observation group had two venous accesses after the shock,a restrictive input was Sodium Chloride Hydroxyethyl Starch,fine-tuning the liquid speed according to the situation,and another input was necessary rescuing drugs and antibiotics. The control group underwent routine fluid resuscitation,using Ringer′s solution for infusion,and after completion,the colloidal fluid was input to maintain arterial pressure,the other was also entered into rescuing drugs and antibiotics. The patients′ infusion volume,blood loss,blood transfusion volume,total effective rate of treatment,mean arterial pressure (MAP),hematocrit (HCT) and central venous pressure (CVP) were compared. Results The infusion volume,blood loss and blood transfusion volume in the observation group were significantly less than those in the control group,and the differences were statistically significant (P<0.05). The total effective rate of treatment in the observation group was 93.75%,which was higher than that in the control group (56.25%),and the difference was statistically significant (P<0.05). The MAP,CVP and HCT at 1 h after treatment in the observation group were higher than that of the same group at 0.5 h after treatment,and the differences were statistically significant (P<0.05). The MAP,CVP and HCT of the maternal women in the observation group were higher than those in the control group at 0.5 h after treatment and 1 h after treatment,and the differences were statistically significant (P<0.05). Conclusion The use of restri

关 键 词：妇科 产后失血 休克 限制性补给液 

分 类 号：R714.463[医药卫生—妇产科学]