The clinical comparative analysis of traditional rehydration and sub-shock therapy for pre-hospital emergency treatment of traumatic shock
10.3760/cma.j.issn.1673-4904.2013.21.007
- VernacularTitle:传统补液法和亚休克疗法用于院前急救治疗创伤性休克的临床对比分析
- Author:
Chen WANG
;
Ying SHUI
- Publication Type:Journal Article
- Keywords:
Shock,traumatic;
Emergency medical services;
Fluid therapy
- From:
Chinese Journal of Postgraduates of Medicine
2013;36(21):23-25
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the clinical effects of the traditional rehydration and sub-shock therapy for pre-hospital treatment of traumatic shock.Methods Two hundred and sixteen patients with traumatic shock,were divided into two groups by random digits table:group A (103 cases) and group B (113cases).Group A was treated by traditional rehydration method,group B was treated by sub-shock therapy.The mortality,incidence of serious complications,and laboratory parameters between two groups were compared.Results The total mortality in group A was significantly higher than that in group B [38.8％ (40/103) vs.25.7％ (29/113),P ＜ 0.01].There was no statistically significant difference in ＜ 1 h,＞ 2 h mortality between two groups (P＞ 0.05).The 1-2 h mortality in group A was significantly higher than that in group B [18.4％(19/103) vs.8.0％(9/113),P ＜ 0.05].The incidence of serious complications in group A was significantly higher than that in group B [41.7％ (43/103) vs.21.2％ (24/113),P ＜ 0.01].Treatment of 1 h various laboratory parameters in group B were significantly better than those in group A (P ＜ 0.01 or ＜0.05).The average amount of fluid in group A was significantly more than that in group B [(2352.6 ± 763.1)ml vs.(592.4 ±236.3) ml,P ＜0.01].There was no statistically significant difference in systolic blood pressure between two groups (P ＞ 0.05).Conclusions Sub-shock therapy in pre-hospital emergency treatment of traumatic shock has some advantages compared with traditional rehydration method,which is conductive to the maintenance of the patient' s vital signs,to reduce bleeding and improve patient treatment rate.
