CAJ | 학술논문

目的：探讨限制性输液复苏在产后失血性休克中的应用价值。方法选取本院产后失血性休克患者80例，按照临床试验随机对照方法将患者分为两组，每组各40例，两组患者均采取基础的治疗，观察组在此基础上采用限制性输液复苏进行治疗，对照组采用大量输液进行治疗，评价两种方法救治产后失血性休克的效果以及对相关实验室指标的影响。结果观察组采用限制性输液复苏后使用输液量和输血量显著低于对照组（P＜0．05）；使用限制性输液复苏后，患者相关实验室检查指标显著优于对照组（P＜0．05）；观察组呼吸窘迫综合征发生率为2．50％，而对照组多器官功能障碍综合征发生率为7．50％，呼吸窘迫综合征发生率为12．50％，差异有统计学意义（P＜0．05）。结论限制性输液复苏治疗产后失血性休克效果显著优于常规的大剂量补液措施，且降低了患者的并发症和病死率，值得临床进一步的探讨和研究。
목적：탐토한제성수액복소재산후실혈성휴극중적응용개치。방법선취본원산후실혈성휴극환자80례，안조림상시험수궤대조방법장환자분위량조，매조각40례，량조환자균채취기출적치료，관찰조재차기출상채용한제성수액복소진행치료，대조조채용대량수액진행치료，평개량충방법구치산후실혈성휴극적효과이급대상관실험실지표적영향。결과관찰조채용한제성수액복소후사용수액량화수혈량현저저우대조조（P＜0．05）；사용한제성수액복소후，환자상관실험실검사지표현저우우대조조（P＜0．05）；관찰조호흡군박종합정발생솔위2．50％，이대조조다기관공능장애종합정발생솔위7．50％，호흡군박종합정발생솔위12．50％，차이유통계학의의（P＜0．05）。결론한제성수액복소치료산후실혈성휴극효과현저우우상규적대제량보액조시，차강저료환자적병발증화병사솔，치득림상진일보적탐토화연구。
Objective To study the effect of restrictive fluid resuscitation of hemorrhagic shock in postpartum.Methods A total of 80 patients with hemorrhagic shock in postpartum in our hospital were studied.They were randomized into two groups with 40 cases in each group.All patients were taken basic treatment,and restrictive fluid resuscitation treatment was added in observation group,while the control group were treated using a lot of fluids.The effect of two methods on postpartum hemorrhagic shock were evaluated and their impact on related laboratory indicators was compared.Results The infusion and transfusion of observation group after restrictive fluid resuscitation were signifi-cantly lower than those of control group(P<0.05).After using restrictive fluid resuscitation,the patient's experimental parameters were signif-icantly better than those of control group(P<0.05);the rate of respiratory distress syndrome was 2.50%in observation group,while that was 12.50% in control group,and the rate of multiple organ dysfunction syndrome was 7.50 % in control group(P<0.05 ).Conclusion For postpartum hemorrhagic shock resuscitation using restrictive transfusion treatment is significantly better than conventional high-dose infusion measures in reducing the incidence of complications and death in patients,which is worth further investigation and research.