限制性补液在急诊创伤性休克患者治疗中的应用效果分析  

Analysis on Application Effect of Restrictive Fluid Replacement in Treatment of Emergency Traumatic Shock Patients

作　　者：刘金龙 Liu Jinlong(People's Hospital of Daye City,Huangshi 435100,Hubei Province,China)

机构地区：[1]大冶市人民医院,湖北黄石435100

出　　处：《中国社区医师》2024年第14期79-81,共3页Chinese Community Doctors

摘　　要：目的:分析限制性补液在急诊创伤性休克患者治疗中的应用效果。方法:选取2021年10月—2022年10月大冶市人民医院收治的80例急诊创伤性休克患者作为研究对象,采用抽签法随机分为对照组和观察组,各40例。对照组实施常规补液,观察组实施限制性补液。比较两组治疗效果。结果:治疗后,两组血红蛋白、血小板计数低于治疗前,但观察组高于对照组,两组凝血酶原时间、活化部分凝血活酶时间长于治疗前,但观察组短于对照组,差异有统计学意义(P<0.05)。观察组补液量少于对照组,住院时间短于对照组,差异有统计学意义(P<0.001)。观察组并发症总发生率低于对照组,差异有统计学意义(P=0.048)。结论:限制性补液在急诊创伤性休克患者治疗中的应用效果显著,可维持凝血功能,减少补液量,降低并发症发生率,促进患者康复。Objective:To analyze the application effect of restrictive fluid replacement in the treatment of emergency traumatic shock patients.Methods:A total of 80 emergency traumatic shock patients treated at the People's Hospital of Daye City from Octo-ber 2021 to October 2022 were selected as the study subjects.They were randomly divided into control group and observation group using a sortition method,with 40 patients in each group.The control group received routine fluid replacement and the observation group received restrictive fluid replacement.The treatment effects were compared between two groups.Results:After treatment,the hemoglobin and platelet counts in the two groups were lower than those before treatment,but the counts in the observation group were higher than those in the control group,while the prothrombin time and activated partial thromboplastin time in the two groups were longer than those before treatment,but the time in the observation group were shorter than those in the control group,and the difference was statistically significant(P<0.05).The amount of fluid replacement in the observation group was lower than that in the control group,and the length of hospital stay in the observation group was shorter than that in the control group,and the difference was statistically significant(P<0.001).The total incidence of complications in the observation group was lower than that in the con-trol group,and the difference was statistically significant(P=0.048).Conclusion:The application of restrictive fluid replacement has a significant effect in the treatment of emergency traumatic shock patients,which can maintain coagulation function,reduce the amount of fluid replacement,reduce the incidence of complications,and promote the recovery of patients.

关 键 词：限制性补液 急诊 创伤性休克 

分 类 号：R604[医药卫生—外科学]