传统补液法与亚休克疗法在创伤性休克患者院前急救中的应用效果比较

Comparison of effects of traditional rehydration treatment and sub-shock therapy in pre-hospital emergency treatment of patients with traumatic shock

目的:比较传统补液法与亚休克疗法在创伤性休克患者院前急救中的应用效果。方法:回顾性分析2015年2月至2020年10月该院收治的60例创伤性休克患者的临床资料,按液体复苏方法不同分为对照组和观察组各30例。对照组采用传统补液法治疗,观察组采用亚休克疗法治疗,比较两组临床指标(输液量、凝血酶原时间、血红蛋白、血小板计数)水平、并发症发生率和死亡率。结果:观察组输液量少于对照组,凝血酶原时间短于对照组,血红蛋白水平和血小板计数高于对照组,差异均有统计学意义(P<0.05);观察组并发症发生率为6.67%(2/30),低于对照组的30.00%(9/30),且观察组入院48、72 h的死亡率低于对照组,差异均有统计学意义(P<0.05)。结论:亚休克疗法用于创伤性休克患者院前急救中,可提高患者血红蛋白水平和血小板计数,减少输液量,缩短凝血酶原时间,降低并发症发生率和死亡率,效果优于传统补液法。

Objective:To compare effects of traditional rehydration treatment and sub-shock therapy in pre-hospital emergency treatment of patients with traumatic shock.Methods:A retrospective analysis of the clinical data of 60 patients with traumatic shock admitted to the hospital from February 2015 to October 2020 was performed.According to the fluid resuscitation method,they were divided into control group and observation group,each with 30 cases.The control group was treated with traditional rehydration treatment,while the observation group was treated with subshock therapy.The levels of clinical indicators(infusion volume,prothrombin time,hemoglobin,platelet count),the complication rate and the mortality rate were compared between the two groups.Results:The infusion volume in the observation group was less than that of the control group;the prothrombin time was shorter than that of the control group;the hemoglobin level and platelet count were higher than those of the control group;and the differences were statistically significant(P<0.05).The complication rate in the observation group was 6.67%(2/30),which was lower than 30.00%(9/30)in the control group;the 48-and 72-hour mortality rate in the observation group were lower than those in the control group;and the differences were all statistically significant(P<0.05).Conclusions:Sub-shock therapy used in the pre-hospital emergency treatment of the patients with traumatic shock can increase the hemoglobin level and the platelet count,reduce the infusion volume,shorten the prothrombin time and reduce the incidence of complications and the mortality rate.Moreover,it is superior to traditional rehydration treatment.