限制性液体复苏在产科失血性休克治疗中的效果

Effect of Restrictive Fluid Resuscitation on Obstetric Hemorrhagic Shock

目的探讨限制性液体复苏在产科失血性休克治疗中的效果。方法收集我院50例2016年1月—2018年12月产科失血性休克产妇。随机化方法分组,常规液体复苏组予以常规的补液方式治疗,限制性液体复苏组则予以限制性液体复苏治疗。比较两组抗休克治疗效果;平均输液量、纠正休克的时间;治疗前后产妇相关的凝血功能相关监测指标;并发症的出现率、死亡率。结果限制性液体复苏组抗休克治疗效果、平均输液量、纠正休克的时间、相关的凝血功能相关监测指标优于常规液体复苏组, P <0.05。限制性液体复苏组并发症的出现率、死亡率和常规液体复苏组差异无统计学意义,P> 0.05。结论限制性液体复苏治疗产科失血性休克的抗休克治疗效果确切。

Objective To investigate the effect of limited fluid resuscitation in the treatment of obstetric hemorrhagic shock. Methods 50 cases of obstetric hemorrhagic shock in our hospital from January 2016 to December 2018 were collected. The routine fluid resuscitation group was treated by routine fluid resuscitation, while the restrictive fluid resuscitation group was treated by restrictive fluid resuscitation. The anti-shock effect, average infusion volume, time to correct shock, blood coagulation related monitoring indicators before and after treatment, the incidence of complications and mortality rate were compared between the two groups. Results The therapeutic effect, average infusion volume, time to correct shock and related monitoring indexes of coagulation function in the limited fluid resuscitation group were better than those in the conventional fluid resuscitation group (P < 0.05). There was no significant difference in the incidence and mortality of complications between the limited fluid resuscitation group and the conventional fluid resuscitation group (P > 0.05). Conclusion Limited fluid resuscitation is effective in the treatment of obstetric hemorrhagic shock, which is worthy of popularization and application.