妇产科急诊失血性休克的临床急救效果分析  

Clinical Analysis of Emergency Resuscitation Outcomes in Obstetric and Gynecological Hemorrhagic Shock Cases

作　　者：连晓艳 刘纯 LIAN Xiaoyan;LIU Chun(Yacheng Central Health Center,Xiapu County,Fujian Province Obstetrics Depart Department,Ningde 355100,China;Zhangzhou Traditional Chinese Medicine Hospital,Fujian Province Obstetrics and Gynecology Department,Zhangzhou 355100,China)

机构地区：[1]福建省霞浦县牙城中心卫生院产科,福建宁德355100 [2]福建省漳州市中医院妇产科,福建漳州363000

出　　处：《中华灾害救援医学》2024年第10期1204-1206,共3页Chinese Journal of Disaster Medicine

摘　　要：目的探讨综合急救模式对改善产妇失血性休克的临床价值。方法回顾性分析2021年6月至2024年6月福建省霞浦县牙城中心卫生院收治的80例失血性休克患者的临床资料,根据急救模式的不同分为观察组(综合急救模式,n=40)和对照组(常规急救模式,n=40)。比较两组研究对象的急救效果、出血量、住院时间、抑郁程度、并发症发生情况。结果观察组患者急救有效率为95.00%,显著高于对照组急救有效率(77.50%),差异有统计学意义(P<0.05)。与对照组相比,观察组患者的出血量较对照组少(P<0.001),住院时间较对照组短(P<0.001)。采取治疗后,两组SDS评分和HAMD评分均显著下降(P<0.001);且与对照组相比,观察组SDS评分和HAMD评分更低(P<0.001)。观察组患者不良反应总发生率显著低于对照组,差异有统计学意义(P<0.05)。结论对于妇产科失血性休克患者,综合急救模式可显著提高患者的急救成功率,缩短住院时间,减少出血量,改善抑郁的不良情绪,减少不良反应的发生风险。Objective To evaluate the clinical value of a comprehensive emergency rescue model in improving the outcomes of postpartum hemorrhagic shock in obstetric patients.Methods A retrospective analysis was conducted on the clinical data of 80 patients with hemorrhagic shock treated at the Obstetrics and Gynecology Department of Yacheng Central Health Center,Xiapu County,from June 2021 to June 2024.According to the emergency care model used,patients were divided into the observation group(comprehensive emergency rescue model,n=40)and the control group(conventional emergency rescue model,n=40).The emergency rescue effectiveness,amount of bleeding,length of hospital stay,depression levels,and incidence of complications were compared between the two groups.Results The emergency rescue success rate in the observation group was 95.00%,significantly higher than the 77.50%success rate in the control group,with a statistically significant difference(P<0.05).Compared to the control group,the observation group had significantly less blood loss(P<0.001)and a shorter length of hospital stay(P<0.001).After treatment,both groups showed significant reductions in their SDS(Self-Rating Depression Scale)and HAMD(Hamilton Depression Rating Scale)scores(P<0.001),with the observation group demonstrating lower SDS and HAMD scores than the control group(P<0.001).The overall incidence of adverse reactions in the observation group was significantly lower than in the control group,with a statistically significant difference(P<0.05).Conclusion The comprehensive emergency rescue model can significantly improve the success rate of emergency treatment,shorten the length of hospital stay,reduce blood loss,alleviate depressive symptoms,improve patient satisfaction with nursing care,and decrease the risk of adverse reactions in obstetric patients with hemorrhagic shock.

关 键 词：妇产科 失血性休克 急救 

分 类 号：R714.463[医药卫生—妇产科学]