Effects of target-oriented fluid therapy on the tissue perfusion of patients with hemorrhagic shock during ectopic pregnancy
10.3760/cma.j.issn.1008-6706.2018.18.020
- VernacularTitle:目标导向液体治疗对异位妊娠失血性休克患者组织灌注的影响
- Author:
Yuchuan SUN
1
;
Diantao WANG
Author Information
1. 烟台市莱阳中心医院麻醉科
- Keywords:
Pregnancy;
ectopic;
Shock;
hemorrhagic;
Fluid resuscitation;
Central venous pressure
- From:
Chinese Journal of Primary Medicine and Pharmacy
2018;25(18):2391-2393
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the effect of target -oriented fluid therapy on the tissue perfusion of patients with hemorrhagic shock during ectopic pregnancy .Methods From December 2015 to June 2017 ,80 patients with ectopic pregnancy hemorrhagic shock in Laiyang Central Hospital of Yantai were enrolled in this study .They were divided into two groups according to the random number method ,with 40 cases in each group .The control group was given routine fluid supplementation .The observation group was given target -oriented fluid therapy .The average arterial pressure,central venous pressure and urine output in two groups were compared .The vasoactive drug use and use time were analyzed in the two groups .Results The mean arterial pressure in the observation group was (115.6 ±10.3)mmHg,which was higher than that in the control group [(86.9 ±5.6)mmHg](t=15.482,P<0.05).The central venous pressure in the observation group was (7.1 ±0.5)cmH2O,which was higher than that in the control group [(5.9 ±0.2)cmH2O](t =14.093,P<0.05).The urine output in the observation group was (256.8 ±15.9)mL,which was more than (53.1 ±5.0)mL in the control group(t=77.294,P<0.05).The use rate of vasoactive drug in the observation group was 7.5％,which was lower than 37.5％in the control group(t=8.674, P<0.05).The duration of vasoactive drug use in the observation group was (35.0 ±0.1)min,which was shorter than (49.6 ±1.8)min in the control group(t=13.707,P<0.05).Conclusion Target-oriented fluid therapy for ectopic pregnancy hemorrhagic patients is more effective for fluid resuscitation and less usage of vasoactive drugs .
