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目的分析急诊创伤性休克患者接受限制性补液的临床疗效。方法通过随机数字表法选取2014年6月—2015年6月就诊的急诊创伤性休克患者100例,其中接受限制性补液治疗和非限制性补液治疗的患者各50例,分别作为观察组和对照组,比较2组临床治疗效果。结果对照组的药物平均使用量和平均住院时间均低于观察组,2组差异有统计学意义(P<0.05);对照组患者DIC、多脏器功能衰竭及死亡率统计结果均高于观察组,各事件合计发生率48.00%显著高于观察组的12.00%,差异有统计学意义(P<0.05)。结论限制性补液治疗急诊创伤性休克效果明显,治疗后患者的死亡率显著降低,可推广应用。
Objective To analyze the clinical effect of restrictive rehydration in emergency traumatic shock patients. Methods A total of 100 patients with traumatic shock in our hospital from June 2014 to June 2015 were selected by random number table. Among them, 50 patients received limited and non-limited fluid replacement therapy, respectively, as observation group and control group Group, comparing two groups of clinical treatment effect. Results The average amount of medication and the average length of stay in the control group were lower than those in the observation group, with significant difference between the two groups (P <0.05). The results of DIC, multiple organ failure and mortality in the control group were all higher than those in the observation group Group, the total incidence of each event 48.00% was significantly higher than the observation group 12.00%, the difference was statistically significant (P <0.05). Conclusion Restrictive rehydration treatment of acute traumatic shock effect is obvious, the patient’s mortality after treatment was significantly reduced, can be extended and applied.