多模式复温管理对创伤失血性休克患者应用效果评价

doi:10.3969/j.issn.1006-5253.2020.06.015

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Abstract Objective To study and analyze the application of multi-mode rewarming management in patients with traumatic hemorrhagic shock and its effect on patients with hypothermia and stress response. Methods One hundred and four patients with traumatic hemorrhagic shock admitted to our hospital from March 2019 to April 2020 were selected as the subjects of this study. All patients were divided into the control group and the intervention group according to random number table method, with 52 cases in each group. The patients in the control group received conventional rewarming management mode, and the patients in the intervention group received multimode rewarming management. The levels of hemodynamics and stress response indexes of the two groups of patients before and after intervention were compared, so were the incidences of complications such as average fluid volume, shock index, hypothermia after intervention. Results After the intervention, the average fluid volume (1 208.22±114.15) mL and shock index (0.78±0.26) of the patients in the intervention group were significantly lower than those in the control group ［(4 218.27±274.29) mL, (1.84±0.42)］ (P<0.001). The hemodynamic parameters PI, PSV, RI, and EDV levels of the two groups of patients increased after intervention, and the difference in the increase of each index of the intervention group was higher than that of the control group (P<0.001). After the intervention, the levels of serum stress response NE, ACTH, Cor, and GLU increased in the two groups, and the differences in the reduction of indicators in the intervention group were higher than those in the control group (P<0.001). The incidences of complications such as hypothermia, chills, restlessness, and hypoxemia in the intervention group were significantly lower than those in the control group (P<0.05). Conclusion The application of multimode rewarming management in patients with traumatic hemorrhagic shock has a definite effect, which can effectively relieve the shock status of patients with traumatic hemorrhagic shock, improve hemodynamics and stress response indicators, and reduce the amount of fluid replacement and hypothermia and chills risk of other complications.

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multi-mode rewarming management trauma hemorrhagic shock hypothermia stress response

Received: 30 June 2020

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	Jin Qinghe
	Yan Leilei
	Huang Xiu.

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Jin Qinghe,Yan Leilei,Huang Xiu.. Evaluation of the effect of multi-mode rewarming management on patients with traumatic hemorrhagic shock[J]. journal1, 2020, 27(6): 537-540.

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http://manu58.magtech.com.cn/Jwk_zgyytj/EN/10.3969/j.issn.1006-5253.2020.06.015 OR http://manu58.magtech.com.cn/Jwk_zgyytj/EN/Y2020/V27/I6/537

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