限制性液体复苏与常规液体复苏治疗失血性休克的疗效对比研究

摘要

Objective:To explore and analyze limitesd fluid resuscitation and conventional liquid recovery efficacy for the treatment of uncontrolled hemorrhagic shock.Methods: 90 cases of patients with uncontrolled hemorrhagic shock admitted in our hospital from April 2015 to April 2017 were selected as objects.All the patients were divided into limitesdgroup and conventional resuscitation group by random number table, 45 cases in each group.The mortality and complication rates and laboratory indexes, average infusion quantity of two groups were compared.Results: Compared with the conventional liquid resuscitation group, the 24h mortality rate, the mortality rate and complication rate in the 1 weeks were lower and the average transfusion rate was less, and the difference was statistically significant (P<0.05).After two groups of treatment, compared with before treatment, HBG, Hct, PLT, BUN and Scr levels increased, PT time shortened, compared with the routine fluid resuscitation group, the indexes of the liquid resuscitation group improved more significantly.The difference was statistically significant (P<0.05).Conclusion: Compared with conventional fluid resuscitation, the treatment of hemorrhagic shock with limited fluid resuscitation has significant efficacy, low mortality and complication rate, better improvement of laboratory indexes and promotion of prognosis.%目的:分析限制性液体复苏与常规液体复苏治疗失血性休克的疗效.方法:选取我院自2015年4月至2017年4月收治的90例失血性休克患者,采用简单随机法分为限制性液体复苏组与常规液体复苏组,每组各45例,对比两组死亡率、并发症发生率、平均输液量及实验室指标.结果:限制性液体复苏组与常规液体复苏组相比24h死亡率、1周内死亡率、并发症发生率较低,平均输液量较少,差异具有统计学意义(P<0.05).两组治疗后与治疗前相比HBG、Hct、PLT、BUN、Scr水平升高,PT时间缩短,限制性液体复苏组与常规液体复苏组相比上述指标改善更加显著,差异具有统计学意义(P<0.05).结论:采用限制性液体复苏相比于常规液体复苏治疗失血性休克的疗效显著,死亡率及并发症发生率较低,可更好的改善实验室指标,促进预后.