CAJ | 학술논문

目的：探讨限制性液体复苏方法在创伤性出血性休克患者的前期治疗效果。方法选取2012年1月~2013年12月在我科就诊的创伤性出血性休克患者80例，随机分为观察组和对照组，各40例，观察组给予限制性液体复苏方法治疗，对照组给予常规液体复苏法治疗，比较两组患者前期治疗效果。结果观察组的输液量、血红蛋白浓度、平均动脉血压、凝血酶原时间均明显低于对照组，差异有统计学意义(P<0.05)；观察组的复苏后血浆TNF-α、IL-2的含量变化明显低于对照组，差异均有统计学意义(P<0.05)；两组患者的病死率、并发症发生率明显低于对照组，差异均有统计学意义(P<0.05)。结论限制性液体复苏方法在创伤性出血性休克患者前期具有较好的临床效果，能保证重要器官的血流供应，提高患者的治愈率，改善预后。
목적：탐토한제성액체복소방법재창상성출혈성휴극환자적전기치료효과。방법선취2012년1월~2013년12월재아과취진적창상성출혈성휴극환자80례，수궤분위관찰조화대조조，각40례，관찰조급여한제성액체복소방법치료，대조조급여상규액체복소법치료，비교량조환자전기치료효과。결과관찰조적수액량、혈홍단백농도、평균동맥혈압、응혈매원시간균명현저우대조조，차이유통계학의의(P<0.05)；관찰조적복소후혈장TNF-α、IL-2적함량변화명현저우대조조，차이균유통계학의의(P<0.05)；량조환자적병사솔、병발증발생솔명현저우대조조，차이균유통계학의의(P<0.05)。결론한제성액체복소방법재창상성출혈성휴극환자전기구유교호적림상효과，능보증중요기관적혈류공응，제고환자적치유솔，개선예후。
Objective To evaluate the effection of limited fluid resuscitation in early treatment of traumatic hemorrhag-ic shock patients. Methods A total of 80 cases with traumatic hemorrhagic shock patients were randomly divided into observation group and control group by tossing a coin from January 2012 to December 2013, with each 40 cases, the observation group was given the limited fluid resuscitation therapy, the control group was given conventional fluid re-suscitation therapy. The officacy of two groups was analyzed. Results The infusion volume, hemoglobin concentration,mean arterial blood pressure, and prothrombin time of the observation group were significantly lower than those in the control group,with statistically significant difference(P<0.05). The TNF-α,IL-2 of the observation group were signifi-cantly lower than those in the control grous after resuscitation, with statistically significant differences (P<0.05). The fatality rate and the complication rate of the observation group were significantly lower than those in the control group,with statistically significant differences(P<0.05). Conclusion Limited fluid resuscitation on traumatic hemorrhagic shock patients early has good clinical effect, can ensure the blood supply to the important organs, improve the cure rate,improve prognosis.