中华灾害救援医学2025，Vol.12Issue(4)：397-400,4.DOI:10.13919/j.issn.2095-6274.ZHJY202503035
限制性液体复苏治疗策略在产科失血性休克患者中的临床应用研究
Clinical Application of Restrictive Fluid Resuscitation Strategy in Obstetric Hemorrhagic Shock Patients
摘要
Abstract
Objective To explore the clinical value of a restrictive fluid resuscitation strategy in the treat-ment of obstetric hemorrhagic shock patients.Methods A retrospective analysis was conducted on the clinical data of obstetric hemorrhagic shock patients admitted to Bijie Traditional Chinese Medicine Hospital and Bijie Qix-ingguan District Maternal and Child Health Group from October 2019 to August 2024.Based on the fluid resuscita-tion strategy,the patients were divided into two groups:the observation group(30 patients,received restrictive fluid resuscitation)and the control group(30 patients,received conventional fluid resuscitation).The bleeding volume,fluid intake,and blood transfusion requirements were compared between the two groups.The observed indicators included:1)Hemodynamic parameters:mean arterial pressure(MAP),hematocrit(HCT),central venous pressure(CVP),and heart rate(HR);2)Coagulation function markers:prothrombin time(PT),activated partial thromboplastin time(APTT),thrombin time(TT),and fibrinogen(FIB)levels;3)Clinical efficacy evaluation.Results Compared to the control group,the observation group had significantly lower bleeding volume,fluid intake,and blood transfusion requirements(P＜0.001).Before treatment,there were no significant differences in hemodynamic parameters(MAP,CVP,HR,HCT)and coagulation function markers(PT,APTT,TT,FIB)between the two groups.After treatment,MAP,CVP,HCT,and FIB levels increased,while HR,PT,APTT,and TT levels decreased in both groups.The observation group showed significantly higher MAP,CVP,HCT,and FIB levels(P＜0.05)and lower HR,PT,APTT,and TT lev-els(P＜0.05)compared to the control group.Additionally,the clinical overall treatment efficacy rate was significant-ly higher in the observation group than in the control group(96.67％vs.80.00％,P＜0.05).Conclusion In the treatment of obstetric hemorrhagic shock,the restrictive fluid resuscitation strategy can effectively reduce bleeding volume,stabilize hemodynamics,improve coagulation function,and enhance clinical treatment outcomes.关键词
失血性休克/限制性液体复苏/血流动力学Key words
Obstetrics/Hemorrhagic shock/Restrictive fluid resuscitation分类
医药卫生引用本文复制引用
李曼,肖欢,洪丽华,邱丽霞..限制性液体复苏治疗策略在产科失血性休克患者中的临床应用研究[J].中华灾害救援医学,2025,12(4):397-400,4.基金项目
2024年度贵州省卫生健康委科学技术基金项目(gzwkj2024-400) （gzwkj2024-400）
