创伤性休克患者的急诊抢救分析

Emergency rescue analysis of patients with traumatic shock

目的探讨创伤性休克患者的急诊抢救措施的有效性。方法选择2012年3月至2017年3月本院收治的创伤性休克急诊患者50例作为研究对象,随机分为对照组和观察组,每组25例。对照组患者采用常规急救措施进行抢救,观察组患者在接受常规急救抢救的同时联合进行液体复苏法进行抢救,记录并分析两组患者在抢救过程中的术前准备时间和休克缓解时间,同时对两组患者的抢救成功率、死亡率和患者死亡时间进行对比。结果对照组患者术前准备时间(22.5±5.3)min明显高于观察组患者的术前准备时间(11.3±2.1)min,对照组休克缓解时间(4.5±1.2)h明显高于观察组休克缓解时间(3.1±0.8)h(P<0.05)。对照组抢救成功率为44.0%明显低于观察组患者抢救成功率(84.0%,P<0.05);对照组患者在治疗过程中1 h内的死亡率为24.0%、1~2 h内的死亡率为20.0%、2 h以上的死亡率为12.0%,而观察组患者在治疗过程中1 h内的死亡率为4.0%、1~2 h内的死亡率为8.0%、2 h以上的死亡率为4.0%(P<0.05)。结论创伤性休克患者发病突然,死亡率较高,在临床上采用常规急救措施联合液体复苏的方法进行抢救,能够有效的缩短抢救时间,减少患者休克的时间,增加抢救的成功率,降低患者的死亡率,与常规急救措施相比采用常规急救措施联合液体复苏法的临床治疗效果更好,值得在临床上推广使用。

Objective To explored the effectiveness of emergency rescue measures for traumatic shock patients. Methods Fifty emergency patients with traumatic shock admitted to our hospital from March 2012 to March 2017 were selected as the research objects. They were randomly divided into control group and observation group, with 25 cases in each group. The patients in control group were rescued by routine first aid measures.The patients in observation group were rescued by liquid resuscitation combined with routine first aid. Record and analyze the preoperative preparation time and shock relief time of the two groups during the rescue process, and compare the rescue success rate, mortality rate and the time of death between the two groups. Results The preoperative preparation time of patients in the control group(22.5±5.3) min was significantly higher than that of patients in the observation group(11.3±2.1) min. The shock relief time in the control group(4.5±1.2) h was significantly higher than that in the observation group(3.1±0.8) h. The difference was statistically significant(P<0.05). The success rate of rescue in the control group was 44% lower than that in the observation group(84.0%, P<0.05). The mortality rate in the control group was 24.0%, 20.0% and 12.0% within 1 h, 1-2 h and more than 2 h respectively, while that in the observation group was 12.0% within 1 h(P<0.05). The mortality rate was 4.0%, 8.0% within 1-2 hours and4.0% over 2 hours, the difference was statistically significant(P<0.05). Conclusion Traumatic shock patients have a sudden onset and high mortality rate. It can effectively shorten the time of rescue, reduce the time of shock, increase the success rate of rescue and reduce the mortality of patients by using conventional emergency measures combined with liquid resuscitation in clinical rescue. Compared with conventional emergency measures,conventional emergency measures can be used to reduce the mortality of patients. Emergency treatment combined with liquid resuscitation has better clinical effect and is worthly popularizing in clinic.