中心静脉血气分析在失血性休克患者急诊治疗中的应用及对患者酸碱平衡的影响

Application of central venous blood gas analysis in the emergency treatment of the patients with hemorrhagic shock and its effect on acid-base balance

目的分析失血性休克患者在急诊治疗中使用中心静脉血气分析治疗方法的临床治疗效果以及使用中心静脉血气分析在治疗过程中对患者酸碱平衡的影响。方法选取2017年5～10月在我院确诊为失血性休克的患者40例,将其随机分为对照组和研究组;对照组患者采用一般常规治疗方法进行抢救,研究组患者则采用中心静脉血气分析治疗方法进行抢救。分析对比两组患者的手术时间、住院天数和出血量,并分析对比两组患者发生不良反应的情况及两组患者的体内酸碱指标。结果两组患者在治疗后,病情得到了控制,研究组患者的手术结果明显优于对照组(P<0.05),且研究组患者的不良反应发生情况明显低于对照组(P<0.05),此外,对比两组患者术后体内的酸碱指标,虽均得到控制,逐渐趋于正常,但研究组患者体内的酸碱指标较对照组存在明显优势,差异有统计学意义(P<0.05)。结论在失血性休克的急诊治疗中,使用中心静脉血气分析治疗方法有利于缩短手术时间,达到急诊抢救效果的最佳状态,提高治愈率;且有效地控制患者在术后其体征处于正常状态,极少出现不良反应,是治疗失血性休克的首选抢救方法,应在临床治疗中广泛推广应用。

Objective To analyze the clinical therapeutic effect of central venous blood gas analysis in the emergency treatment for the patients with hemorrhagic shock and the effect of central venous blood gas analysis on the acid-base balance of patients during the treatment.Methods A total of 40 patients with hemorrhagic shock who were diagnosed in our hospital from May to October 2017 were selected.They were randomly assigned to the control group and the study group;patients in the control group were given general routine treatment for emergency rescue,and patients in the study group were given central venous blood gas analysis for emergency rescue.The time spent in surgery,the number of hospital stays,and the amount of bleeding were analyzed and compared between the two groups of patients,and the adverse reactions were analyzed and compared between the two groups of patients;the acid-base indicators were also analyzed and compared between the two groups.Results After treatment,the conditions in the two groups of patients were under control.The surgical results in the study group were significantly better than those in the control group(P<0.05),and the incidence rate of adverse reactions in the study group was significantly lower than that in the control group(P<0.05).In addition,the acid-base indicators after the surgery were compared between the two groups.Although they were controlled and gradually became normal,the acid-base index in the study group was significantly superior to the control group,and the difference was statistically significant(P<0.05).Conclusion In the emergency treatment of hemorrhagic shock,the use of central venous blood gas analysis is beneficial to shortening the surgery time,achieving the best effect of emergency rescue,and improving the cure rate;and it can effectively control the patient's physical signs after surgery to maintain in a normal level,and adverse reactions are rarely observed.This method is the first choice for the treatment of hemorrhagic shock and should be widely promoted used in clinical practice.