Application of restrictive fluid resuscitation in the treatment of obstetric hemorrhagic shock
限制性液体复苏在产科失血性休克治疗中的应用

摘要

目的 探讨在产科失血性休克患者临床治疗中采用限制性液体复苏方式的应用效果。方法 于2019年3月-2020年1月本院产科失血性休克患者中，随机选取76例作为本次研究对象。在临床治疗中，采取常规液体复苏干预措施，应用于参与实验的38例患者，将其归为对照组。其余38例患者视为观察组，临床治疗中选用限制性液体复苏方式。结果 从患者出血量、输血量和液体输入量各项指标的比较上来看，观察组患者对应数值普遍偏低，差异具有统计学意义（P<0.05）。在患者血流动力学指标的比较上，观察组患者的HCT、CVP和MAP各项指标对应数值高于对照组，HR相对较低，差异具有统计学意义（P<0.05）。在患者凝血功能指标水平的比较上，除FIB外，观察组患者的TT、APTT和PT三项指标对应数值均低于对照组，差异具有统计学意义（P<0.05）。结论 与常规液体复苏干预方式相比较，应用限制性液体复苏的方法，能够较快的改善患者机体内环境和代偿机制，缓解病症，整体治疗效果较好。

Abstract

Objective: To explore the effect of restrictive fluid resuscitation in the clinical treatment of obstetric hemorrhagic shock patients.
Methods: From March 2019 to January 2020, 76 patients with obstetric hemorrhagic shock in our hospital were randomly selected as the subjects of this study. In clinical treatment, conventional fluid resuscitation interventions were adopted and applied to 38 patients participating in the experiment, which were classified as a control group. The remaining 38 patients were regarded as the observation group, and restrictive fluid resuscitation was used in clinical treatment.
Results: From the comparison of the indexes of patients' bleeding volume, blood transfusion volume and fluid input volume, the corresponding values of the observation group were generally low, and the difference was statistically significant (P <0.05). In the comparison of the hemodynamic indexes of patients, the corresponding values of HCT, CVP and MAP of the observation group were higher than the control group, and the HR was relatively low, the difference was statistically significant (P <0.05). In the comparison of the coagulation function indexes of patients, except FIB, the corresponding values of the three indexes of TT, APTT and PT in the observation group were lower than those in the control group, the difference was statistically significant (P <0.05).
Conclusion  : Compared with conventional fluid resuscitation intervention methods, the application of restrictive fluid resuscitation can quickly improve the patient's internal environment and compensation mechanism, alleviate the disease, and the overall treatment effect is better.