亚休克疗法对院前急救治疗创伤性休克的影响

Effect of Sub Shock Therapy on Pre-hospital Emergency Treatment of Traumatic Shock

目的观察亚休克疗法对院前急救治疗创伤性休克的影响。方法厦门市医疗急救中心2019年6月—2020年6月收治的62例院前急救治疗创伤性休克患者按照随机数字分组法进行分组,院前急救治疗中应用传统补液法的患者归属于对照组,院前急救治疗中应用亚休克疗法的患者归属于试验组,比较两组患者治疗效果。结果试验组患者治疗2 h后血红蛋白、凝血酶原时间、血小板计数等凝血指标,去甲肾上腺素、皮质醇、空腹血糖等生理应激指标均优于对照组,数据差异具有统计学意义(P<0.05)。试验组患者治疗24 h收缩压、舒张压以及心率等血流动学指标均以及抢救成功率(100%)均优于对照组,数据差异具有统计学意义(P<0.05)。试验组患者并发症发生率(6.45%)均低于对照组,数据差异具有统计学意义(P<0.05)。结论院前急救治疗创伤性休克患者亚休克疗法治疗效果优于传统补液法。

Objective To observe the effect of sub shock therapy on pre hospital emergency treatment of traumatic shock.Methods 62 patients with traumatic shock in Xiamen medical emergency center from June 2019 to June 2020 were divided into two groups according to the random number method.The patients with traditional rehydration in pre hospital emergency treatment were assigned to the control group,and the patients with sub shock in pre hospital emergency treatment were assigned to the experimental group.Results After 2 hours of treatment,the coagulation indexes such as hemoglobin,prothrombin time,platelet count,physiological stress indexes such as norepinephrine,cortisol and fasting blood glucose of the experimental group were better than those of the control group,and the data difference was significant(P<0.05).The hemodynamic indexes such as systolic blood pressure,diastolic blood pressure and heart rate in the experimental group were better than those in the control group(100%),and the difference was significant(P<0.05).The incidence of complications in the experimental group(6.45%)was significantly lower than that in the control group(P<0.05).Conclusion Pre hospital emergency treatment of traumatic shock patients with sub shock therapy treatment effect is significantly better than the traditional rehydration method.