Observation on the effect of restrictive fluid resuscitation in the treatment of obstetric hemorrhagic shock
产科失血性休克治疗中限制性液体复苏的应用效果观察

摘要

目的 分析产科失血性休克治疗中限制性液体复苏的临床应用效果。方法 将于2019年5月至2020年1月所收治的60例失血性休克产妇作为研究对象，均符合入组标准。入组后按照治疗方法的不同将60例患者随机分配为对照组和观察组，每组30例患者，其中对照组常规补液复苏疗法，观察组则使用限制性液体复苏疗法，对比两种不同疗法的临床治疗效果。结果 使用限制性液体复苏治疗的观察组，收缩压（65.34±7.46）mmHg，舒张压（65.36±7.42）mmHg，BE（1.02±0.08）mmol/L，PT（15.49±2.33）s；使用常规补液疗法的对照组，患者收缩压、舒张压、BE、PT等指标分别为（54.22±8.24）mmHg、（54.22±8.26）mmHg、（2.53±0.24）mmol/L、（11.27±1.35）s，观察组临床数据指标明显优于对照组，存在统计学意义，（P＜0.05）。其次，观察组仅出现1例并发症情况，并发症发生率（3.32%），对照组出现5例并发症情况，并发症发生率（16.67%），观察组并发症发生率显著低于对照组，（P＜0.05）。结论 将限制性液体复苏疗法应用于产科失血性休克治疗中可快速抑制出血、稳定患者血压，具有良好的临床应用效果。

Abstract

Objective: To analyze the clinical application of restrictive fluid resuscitation in the treatment of obstetric hemorrhagic shock.
Methods: 60 women with hemorrhagic shock who were admitted from May 2019 to January 2020 were selected as the study subjects, all of which met the inclusion criteria. After enrollment, 60 patients were randomly assigned to a control group and an observation group according to different treatment methods, with 30 patients in each group. Among them, the control group used conventional fluid resuscitation therapy, while the observation group used restrictive fluid resuscitation therapy to compare the clinical effects of two different therapies.
Results: In the observation group using restrictive fluid resuscitation, systolic blood pressure (65.34 ± 7.46) mmHg, diastolic blood pressure (65.36 ± 7.42) mmHg, BE (1.02 ± 0.08) mmol / L, PT (15.49 ± 2.33) s; In the control group using conventional fluid replacement therapy, the systolic blood pressure, diastolic blood pressure, BE, PT and other indicators were (54.22 ± 8.24) mmHg, (54.22 ± 8.26) mmHg, (2.53 ± 0.24) mmol / L, (11.27 ± 1.35) s, the clinical data indicators of the observation group were significantly better than the control group, with statistical significance (P <0.05).Secondly, only one complication occurred in the observation group, the incidence of complications (3.32%), and 5 cases in the control group, the incidence of complications (16.67%), the incidence of complications in the observation group was significantly lower than that of the control group , (P <0.05).
Conclusion  : The application of restrictive fluid resuscitation therapy in the treatment of obstetric hemorrhagic shock can quickly inhibit bleeding and stabilize the blood pressure of patients, and has a good clinical application effect.