运用限制性液体复苏治疗产科失血性休克的临床疗效分析

党江莉1 ，雷娟2

（1.西安慈爱妇产医院，陕西 西安，710000；2.西安唐城医院产科，陕西 西安，710016）

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摘要：

目的 总结限制性液体复苏治疗产科失血性休克的临床疗效，对产科工作的开展提供参考。方法 将我院2015 年1 月至 2017 年1 月收治的120 例产科失血性休克患者根据治疗方法不同分为试验组和对照组，各60 例。试验组采取限制性液体复苏 治疗，对照组采取充分液体复苏治疗。对比两组产科失血性休克患者的复苏满意度、血压值、凝血酶原时间（PT）、血气剩余碱水 平及病死率、并发症发生率。结果 试验组患者的舒张压高于对照组，PT 长于对照组，血气剩余碱水平低于对照组，差异具有统 计学意义（P<0.05）；试验组并发症总发生率为6.6%，低于对照组的40.0%，差异具有统计学意义（P<0.05）；试验组患者中无死亡 情况发生，对照组患者中死亡6 例（10.0%），对照组死亡率高于试验组，差异具有统计学意义（P<0.05）；试验组患者的复苏方式 满意度为93.3%，明显高于对照组的70.0%，差异具有统计学意义（P<0.05）。结论 相对于充分液体复苏治疗，限制性液体复苏治 疗产科失血性休克效果更显著，可降低患者并发症发生率及病死率，提高患者的复苏方式满意度，值得推广实施。

关键词：产科工作；失血性休克；限制性液体复苏；充分液体复苏；并发症

中图分类号：R714文献标志码：A文章编号：2096-1413(2017)36-0040-03

Clinical analysis of restrictive fluid resuscitation in obstetrical hemorrhagic shock
DANG Jiang-li 1, LEI Juan 2
(1. Xi``an Ci``ai Maternity Hospital, Xi``an 710000; 2. Maternity Department, Xi``an Tangcheng Hospital, Xi``an 710016, China)

ABSTRACT: Objective To summarize the clinical efficacy of the restrictive fluid resuscitation in the treatment of obstetric hemorrhagic shock, to provide reference for the development of obstetric work. Methods A total of 120 patients with obstetric hemorrhagic shock admitted to our hospital from January 2015 to January 2017 were divided into experimental group and control group according to the different treadment methods, with 60 cases in each group. The experimental group was treated with restrictive fluid resuscitation, while the control group was treated with adequate fluid resuscitation. The satisfaction rate of resuscitation, blood pressure, prothrombin time (PT), residual alkali of blood gases, incidences of mortality and complications in the two groups were compared. Results The diastolic blood pressure of the experimental group was higher than that of the control group, PT was longer than that of the control group, and the level of residual alkali of blood gas was lower than that of the control group, the differences were statistically significant (P<0.05). The total incidence of complications in the experimental group was 6.6%, which was lower than 40.0% in the control group, the difference was statistically significant (P<0.05). There was no death in the experimental group and 6 cases of death (10.0%) in the control group. The mortality rate in the control group was higher than that in the experimental group, the difference was statistically significant (P<0.05). The satisfaction rate of resuscitation in the experimental group was 93.3%, which was significantly higher than 70.0% in the control group, the difference was statistically significant (P<0.05). Conclusion Compared with adequate fluid resuscitation treatment, restrictive fluid resuscitation is more effective in obstetric hemorrhagic shock, can reduce the incidence of complications and mortality in patients and improve the satisfaction rate of resuscitation, which is worthy of promotion in clinic.
KEYWORDS: obstetric work; hemorrhagic shock; restrictive fluid resuscitation; adequate fluid resuscitation; complications

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