目标导向液体治疗对异位妊娠失血性休克手术患者微循环的影响

Effect of Target Oriented Liquid Therapy on Microcirculation in Ectopic Pregnancy Patients With Hemorrhagic Shock

目的探究在异位妊娠失血性休克手术患者中,应用目标导向液体治疗对其微循环的影响。方法将2015年1月—2018年1月于我院就诊的40例异位妊娠失血性休克手术患者作为本次研究对象,将其随机分为对照组(常规输液治疗)和观察组(目标导向液体治疗);观察两组效果以及患者的微循环情况。结果两组患者的微循环情况在治疗前差异无统计学意义(P>0.05),分组治疗后观察组患者的尿量均比对照组高,且乳酸浓度均比对照组低,两组差异均具有统计学意义(P<0.05)。结论在异位妊娠失血性休克手术患者中,应用目标导向液体治疗可使得患者微循环保持在较好状态。

Objective To explore the effect of target oriented fluid therapy on microcirculation in ectopic pregnancy patients with hemorrhagic shock. Methods 40 cases of ectopic pregnancy patients with hemorrhagic shock from January 2015 to January 2018 in our hospital for treatment were selected as the research object, they were randomly divided into control group （routine treatment） and observation group （target oriented fuid therapy）; the efects and microcirculation oftwo groups of patients was compared. Results There was no signifcant difference in the microcirculation between the two groups before treatment. After the treatment, the urine volume of the observation group was higher than that of the control group, and the lactic acid concentration was lower than that of the control group. The diference between the two groups was signifcant （P 〉 0.05）. Conclusion Target oriented fluid therapy can keep microcirculation in a good state in ectopic pregnancy patients with hemorrhagic shock.