限制性液体复苏方案在急诊创伤失血性休克患者中的应用效果分析  

Analysis of Application Effect of Restrictive Fluid Resuscitation Regimen in Emergency Patients with Traumatic Hemorrhagic Shock

作　　者：高培亮 申京凤 甄国栋 陈龙营 Gao Peiliang;Shen Jingfeng;Zhen Guodong;Chen Longying(Emergency Department of Linyi Central Hospital,Linyi 276400,Shandong Province,China)

机构地区：[1]临沂市中心医院急诊科,山东临沂276400

出　　处：《中国社区医师》2025年第9期36-38,共3页Chinese Community Doctors

摘　　要：目的:分析限制性液体复苏方案在急诊创伤失血性休克患者中的应用效果。方法:选取2023年1月—2024年4月临沂市中心医院急诊科收治的创伤失血性休克患者76例作为研究对象,采用随机数字表法分为对照组(n=38)和观察组(n=38)。对照组实施常规液体复苏方案,观察组实施限制性液体复苏方案。对比两组液体复苏时间、凝血功能、心肌损伤指标及并发症发生情况。结果:观察组液体复苏时间短于对照组(P=0.003)。复苏后,两组凝血酶原时间、活化部分凝血活酶时间延长,但观察组短于对照组(P<0.05);两组血红蛋白水平降低,但观察组高于对照组(P<0.05);两组血清乳酸水平降低,且观察组低于对照组(P<0.05)。复苏后,两组肌钙蛋白、肌酸激酶同工酶水平降低,且观察组低于对照组(P<0.05)。观察组并发症总发生率低于对照组(P=0.025)。结论:限制性液体复苏方案在急诊创伤失血性休克患者中的应用效果显著,可缩短液体复苏时间,调节机体凝血功能,减轻心肌损伤,减少并发症。Objective:To analyze the application effect of restrictive fluid resuscitation regimen in emergency patients with traumatic hemorrhagic shock.Methods:A total of 76 patients with traumatic hemorrhagic shock admitted to the Emergency Department of Linyi Central Hospital from January 2023 to April 2024 were selected as the study subjects.They were divided into control group(n=38)and observation group(n=38)according to random number table method.The control group implemented conventional fluid resuscitation regimen and the observation group implemented restrictive fluid resuscitation regimen.The fluid resuscitation time,blood coagulation function,myocardial injury indexes and complications were compared between the two groups.Results:The fluid resuscitation time in the observation group was shorter than that in the control group(P=0.003).After resuscitation,the prothrombin time and activated partial thromboplastin time in the two groups prolonged,but these parameters in the observation group were shorter than those in the control group(P<0.05).The hemoglobin levels in the two groups decreased,but the levels in the observation group were higher than those in the control group(P<0.05).The serum lactic acid levels in the two groups decreased,and the levels in the observation group were lower than those in the control group(P<0.05).After resuscitation,the levels of troponin and creatine kinase isoenzyme in the two groups decreased,and the levels in the observation group were lower than those in the control group(P<0.05).The total incidence of complications in the observation group was lower than that in the control group(P=0.025).Conclusion:The restrictive fluid resuscitation regimen has a significant effect in emergency patients with traumatic hemorrhagic shock,and can shorten the fluid resuscitation time,regulate the blood coagulation function of the body,relieve myocardial injury,and reduce complications.

关 键 词：失血性休克 限制性液体复苏 凝血功能 心肌损伤 

分 类 号：R641[医药卫生—外科学]