双囊气压输液袋在失血性休克病人中的应用

Application of the Double Capsule Pressure Infusion Bag in the Treatment of Hemorrhagic Shock

目的:评价应用双囊气压输液袋抢救失血性休克病人的疗效。方法:根据纳入/排除标准选择2009年1月至2012年6月收入我科的创伤失血性休克病人40例做为研究对象,分别采用双囊气压输液袋(实验组)或传统注射器配合三通管快速输液(对照组)恢复患者血压,观察和比较两种方法处理的患者输完250 mL液体所需的时间,恢复正常收缩压和正常动脉血氧饱和度的时间,以及连续扩容1000 mL后的收缩压值、心率、体温和患者存活率。结果:实验组输注250 mL液体所需的时间明显少于对照组(P<0.01),实验组恢复正常收缩压和正常动脉血氧饱和度的时间少于对照组(P<0.05),而两组患者在扩容1000 mL后收缩压、心率、体温的平均值的差异无统计学意义(P>0.05),两组患者的存活率的差异无统计学意义(P>0.05)。结论:应用双囊气压输液袋补液抢救失血性休克病人能更迅速、有效恢复患者的收缩压。

Objective： To evaluate the effect of the double capsule pressure infusion bag used in the patients with hemorrhagic shock.Methods： According to the inclusion/exclusion criteria,40 patients with hemorrhagic shock were randomly assigned to one of the two groups from January,2009 to June,2012.The Double capsule pressure infusion bag was used in the experimental group,while syringe with three-way pipe was used in the control group to increase the blood pressure.Results： The time for the infusion of 250 mL of the experimental group was much less than that of control group（P0.01）,and the time of recovery of SBP/ SaO2 of the experimental group was less than that of control group（P0.05）,while the difference of the mean value of the systolic blood pressure（SBP）,heart rate（HR） and the temperature of the two group after the infusion of 1000 mL had no statistical significance（P0.05）.The survival rate of the two group had no statistical significance（P0.05）.Conclusions： It was rapid and effective to increase the blood pressure in patients with hemorrhagic shock using the double capsule pressure infusion bag.