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目的探讨传统补液法和亚休克疗法在院前急救治疗创伤性休克的效果。方法 108例院前急救的创伤性休克患者,根据患者院前急救中补液方式不同分为观察组与对照组,各54例。观察组给予亚休克疗法补液,对照组给予传统补液法,对比两组临床急救效果。结果观察组患者在急救72 h内死亡率为14.81%,低于对照组的31.48%,差异有统计学意义(P<0.05)。观察组患者在急救72 h内并发症发生率为14.81%,明显低于对照组的38.89%,差异有统计学意义(P<0.05)。结论创伤性休克患者的院前急救中给予亚休克疗法补液效果良好,较传统补液法更具优势,能够稳定维持患者生命体征,减少患者急救期并发症,增加患者存活率。
Objective To investigate the effect of traditional rehydration and sub-shock therapy in the pre-hospital emergency treatment of traumatic shock. Methods A total of 108 patients with traumatic shock in prehospital emergency were divided into observation group and control group according to different ways of fluid replacement in hospital. Observation group given sub-shock therapy rehydration, the control group given conventional rehydration method, compared with two groups of clinical emergency effect. Results The death rate of observation group was 14.81% within 72 h after emergency treatment, which was lower than that of control group (31.48%), the difference was statistically significant (P <0.05). The incidence of complications in the observation group within 72 hours of first aid was 14.81%, which was significantly lower than that of the control group (38.89%), the difference was statistically significant (P <0.05). Conclusions The pretreatment first aid of traumatic shock is effective in rehydration of the sub-shock therapy, which is more advantageous than the traditional rehydration method. It can maintain the vital signs of the patients stably, reduce the complication of the first aid and increase the survival rate of the patients.