两种补液方法院前急救治疗创伤性休克的临床研究

Clinical Study on Two Rehydration Kinds of Emergency Treatment for Traumatic Shock before Hospital

目的探究两种补液方法院前急救治疗创伤性休克的临床应用。方法2017年10月至2018年9月,选取在我院接受治疗的142例创伤性的休克患者,随机分为两组,对照组(71例,对照组应用传统补液法)与观察组(71例,实施亚休克疗法),对两组治疗的效果进行观察。结果观察组1~2 h病死率、并发症发生率分别为2.82%、18.31%,较对照组(21.13%、45.07%)低(P<0.05);观察组输液量、凝血酶原时间、血小板计数、红细胞比容、血红蛋白分别为(603.10±102.90)mL、(11.20±2.20)s、(176.10±19.40)×10^(9)/L、(0.31±0.07)、(118.20±24.60)g/L,对照组分别为(2146.80±195.50)mL、(15.30±2.80)s、(106.20±15.30)×10^(9)/L、(0.24±0.06)、(105.50±18.70)g/L,组间差异显著(P<0.05)。结论院前对创伤性休克的患者实施急救治疗时,相较于传统的补液疗法,亚休克疗法取得的疗效更为显著,可明显降低病死率,减少输液量和并发症的发生,有效改善患者的生活质量。

Objective To explore the clinical application of two rehydration methods in pre-hospital emergency treatment of traumatic shock.Methods From October 2017 to September 2018,142 patients with traumatic shock who were treated in our hospital were selected and randomly divided into two groups,the control group(71 cases,the control group used traditional fluid rehydration)and the observation group(71 cases,implement sub-shock therapy),observe the effects of the two groups of treatment.Results The mortality rate and complication rate in the observation group were 2.82%and 18.31%respectively,which were lower than those in the control group(21.13%,45.07%)(P<0.05);the infusion volume,prothrombin time,platelet count,hematocrit and hemoglobin were(603.10±102.90)mL,(11.20±2.20)s,(176.10±19.40)×10^(9)/L,(0.31±0.07),(118.20±24.60)g/L,respectively,control groups were(2146.80±195.50)mL,(15.30±2.80)s,(106.20±15.30)×10^(9)/L,(0.24±0.06),(105.50±18.70)g/L,and there were significant differences between the groups(P<0.05).Conclusion When emergency treatment is performed on patients with traumatic shock before hospital,compared with traditional fluid rehydration therapy,sub-shock therapy achieves more significant effects,which can significantly reduce the mortality rate,reduce the amount of fluid infusion and the occurrence of complications,and effectively improve the patient’s quality of life.