限制性液体复苏在重型颅脑损伤患者中的应用价值研究

Application research of the limited resuscitation in severe craniocerebral injury patients

目的探讨限制性液体复苏在重型颅脑损伤患者中的应用价值。方法将本院收治的98例重型颅脑损伤患者按照复苏方法分为研究组与对照组,每组49例,研究组患者给予限制性液体复苏,对照组患者给予常规液体复苏,比较两组患者的平均输液量、死亡率、胶体液用量和开始复苏时间。结果两组患者的年龄、男女例数、GCS评分差异无统计学意义(P>0.05)。两组患者的平均输液量、死亡率比较差异有统计学意义(t=17.825,χ2=0.051,均P<0.05);两组患者的胶体液用量和开始复苏时间比较,差异无统计学意义(t=1.376、0.982,P>0.05)。结论限制性液体复苏治疗重型颅脑损伤患者的疗效显著,值得临床推广应用。

Objective To explore the application value of limited resuscitation in severe craniocerebral injury patients. Methods Ninety-eight cases of heavy craniocerebral injury patients in our hospital were divided into research group and control group according to the recovery method, 49 cases in each group, the research group was given limited resuscitation, the control group was given conventional liquid recovery. Average infusion volume, dosage of mortality, colloid and recovery time between the two groups were compared. Results The age, male and female cases, GCS score between the two groups compared, there was no statistically significant difference （P 〉 0.05）. The average infusion volume, mortality between the two groups compared, the difference was statistically significant （t = 17.825, χ^2 = 0.051, P 〈 0.05）; the colloid and recovery time between the two groups compared, there was no statistically significant difference （t = 1.376, 0.982, P 〉 0.05）. Conclusion The limited resuscitation treat the severe craniocerebral injury patients with obvious therapeutic effect, it is worthy of clinical popularization and application.