骨髓腔输液在创伤失血性休克患者救治中的应用效果  

Effectiveness of bone marrow cavity infusion in the treatment of patients with traumatic hemorrhagic shock

作　　者：刘亚杰[1] Liu Yajie(Zhengzhou People's Hospital,Zhengzhou 450003,China)

机构地区：[1]郑州人民医院,郑州450003

出　　处：《保健医学研究与实践》2020年第5期74-77,共4页Health Medicine Research and Practice

基　　金：河南省医学科技攻关项目(152207310007)。

摘　　要：目的探讨骨髓腔输液在创伤失血性休克患者救治中的应用价值。方法本研究选取2017年12月-2018年12月郑州市某医院收治的84例创伤失血性休克患者作为研究对象,采用随机数字表法将患者分为对照组与研究组,每组42例。对照组患者采用静脉输液。研究组患者采用骨髓腔输液。比较2组患者输液通道建立所用时间、输液后血压回升所用时间;比较2组患者输液前后乳酸、血红蛋白以及碱剩余水平;比较2组患者首次穿刺成功率、抢救成功率以及住院期间并发症发生率。结果研究组患者输液通道建立所用时间为(1.62±0.53)min,短于对照组的(6.42±1.24)min,差异有统计学意义(P<0.05)。输液后,研究组患者乳酸水平为(2.17±0.52)mmol/L,低于对照组的(4.51±1.63)mmol/L,差异有统计学意义(P<0.05)。输液后,研究组患者血红蛋白及碱剩余水平为(134.69±12.24)g/L及(-4.32±1.75)mmol/L,高于对照组的(106.48±16.27)g/L及(-8.35±1.52)mmol/L,差异均有统计学意义(P<0.05)。研究组患者首次穿刺成功率及抢救成功率分别为92.86%及83.33%,高于对照组的71.43%及61.90%,差异均有统计学意义(P<0.05)。研究组患者并发症发生率为7.14%,低于对照组的28.57%,差异有统计学意义(P<0.05)。结论对创伤失血性休克患者进行骨髓腔输液,可以缩短输液通道建立所用时间,纠正患者的组织灌注不足,提高首次穿刺成功率及抢救成功率,减少并发症的发生,是一种快速、安全、有效的抢救措施。Objective To explore the value of bone marrow cavity infusion in the treatment of patients with traumatic hemorrhagic shock.Methods This study selected 84 cases of traumatic hemorrhagic shock patients as study subjects,and the patients were divided into control and study groups using a random number table,with each 42 cases in each group.Patients in the control group were given intravenous infusion.Patients in the study group received infusions into the bone marrow cavity.The time taken to establish the infusion channel and the time taken for the blood pressure to rise after infusion were compared between the two groups;the levels of lactic acid,hemoglobin and alkaline residue were compared between the two groups before and after infusion;the success rate of first puncture,the success rate of resuscitation and the complication rate during hospitalization were also compared between the two groups.Results The time taken to establish the infusion channel in the study group was(1.62±0.53)min,which was shorter than that of(6.42±1.24)min in the control group,and the difference was statistically significant(P<0.05).After infusion,the lactic acid level of patients in the study group was(2.17±0.52)mmol/L,which was lower than that of(4.51±1.63)mmol/L in the control group,and the difference was statistically significant(P<0.05).After infusion,the hemoglobin and alkali residual levels were(134.69±12.24)g/L and(-4.32±1.75)mmol/L in the study group,which were higher than those of(106.48±16.27)g/L and(-8.35±1.52)mmol/L in the control group,and the differences were statistically significant(P<0.05).In the study group,the success rates of first puncture and rescue were 92.86%and 83.33%,respectively,which were higher than those of 71.43%and 61.90%in the control group,and the differences were statistically significant(P<0.05).The complication rate of the patients in the study group was 7.14%,which was lower than that of 28.57%in the control group,and the difference was statistically significant(P<0.05).Conclusion Bone marro

关 键 词：骨髓腔输液 创伤失血性休克 急救效果 组织灌注 抢救 无菌原则 

分 类 号：R459.7[医药卫生—急诊医学]