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International Journal of Nursing Research. 2020; 2: (5) ; 10.12208/j.ijnr.20200226.

The effect of fluid resuscitation on obstetric hemorrhagic shock
液体复苏治疗产科失血性休克的疗效研究

作者: 陈婷,洪萍*

云南省第一人民医院昆明理工大学附属医院产科 云南昆明

*通讯作者:洪萍,单位:云南省第一人民医院昆明理工大学附属医院产科 云南昆明;

引用本文: 陈婷,洪萍. 液体复苏治疗产科失血性休克的疗效研究[J]. 国际护理学研究, 2020, 2(5) : 724-726.
Published: 2020-09-22

摘要

目的 对产科失血性休克患者治疗中液体复苏治疗的应用效果进行研究,以期能够为产科医护人员开展后续工作提供一些参考。方法 本次实验共计选择2019年3月-2020年3月期间本院产科失血性休克患者68例,通过掷骰子的方法将所选患者分为甲组及乙组,两组患者人数保持一致。医护人员在实验过程中通过常规液体复苏对甲组患者进行治疗,通过限制性液体复苏对乙组患者进行治疗,对两组患者死亡情况、血压及治疗总有效率进行记录和对比。结果 在死亡情况方面,两组患者均无死亡;在血压方面,乙组患者显著高于甲组患者,甲组患者平均血压为(52.4±12.2)mmHg,乙组患者平均血压为(63.5±11.3)mmHg,血压方面表现出较大差异,数据呈现统计学意义(p<0.05);在治疗总有效率方面,乙组患者明显高于甲组患者,甲组患者治疗总有效率为76.47%,乙组患者治疗总有效率为91.18%,治疗总有效率方面表现出较大差异,数据呈现统计学意义(p<0.05)。结论 相比常规液体复苏,限制性液体复苏在产科失血性休克患者治疗中效果更好,其能够在提高患者血压值及治疗总有效率,具有较高的临床价值。

关键词: 产科;失血性休克;液体复苏;血压

Abstract

Objective: To study the application effect of fluid resuscitation in the treatment of obstetric hemorrhagic shock patients, in order to provide some reference for the follow-up work of obstetric medical staff.
Methods: A total of 68 patients with obstetric hemorrhagic shock in our hospital were selected from March 2019 to March 2020. The selected patients were divided into Group A and Group B by rolling the dice. The number of patients in the two groups remained the same. During the experiment, medical staff treated group A patients by conventional fluid resuscitation, and treated group B patients by restrictive fluid resuscitation, and recorded and compared the mortality, blood pressure, and total treatment efficiency of the two groups of patients.
Results: In terms of death, there wasno deceased patients in both groups. In terms of blood pressure, the patients in group B were significantly higher than those in group A. The average blood pressure of patients in group A was (52.4 ± 12.2) mmHg. The average blood pressure of patients in group B was (63.5 ± 11.3) mmHg, and there was a large difference in blood pressure, the data showed statistical significance (p <0.05); in terms of the total effective rate of treatment, the patients in group B were significantly higher than those in group A. The total effective rate of treatment in group A patients was 76.47%, and the total effective rate of treatment in group B patients was 91.18%. The total effective rate of treatment showed a large difference, and the data showed statistical significance (p <0.05).
Conclusion  : Compared with conventional fluid resuscitation, restrictive fluid resuscitation is more effective in the treatment of patients with obstetric hemorrhagic shock. It can increase the patient's blood pressure value and the total treatment efficiency, and has a higher clinical value.

Key words: Obstetrics; Hemorrhagic Shock; Fluid Resuscitation; Blood Pressure

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