Objective: The aim of this study is to discuss the clinical effects of two types of fluid infusion in prehospital care for traumatic shock.
Methods: A total of 100 patients with traumatic shock in our hospital from November 2016 to August 2017 were chosen and divided into the control group (n=50) and the treatment group (n=50) by random number table method. The control group was treated with the traditional fluid infusion method, and the treatment with subshock therapy. Salvage success rate, death rate, relevant clinical indexes, occurrence rate of complications, time to return of consciousness, and length of stay (LOS) between the two groups were observed and compared.
Results: The treatment group shows significantly higher salvage success rate and far lower death rate compared with the control group (P<0.05). It is significantly superior to the control group in terms of hemoglobin, blood platelet count, infusion quantity, prothrombin time, and hematocrit (P<0.05). No significant difference of systolic pressure is observed between the two groups (P>0.05). Moreover, the treatment group has far lower occurrence rate of complications than the control group (P<0.05). The control group has longer time to return of consciousness and LOS than the treatment group, showing statistically significant differences (P<0.05).
Conclusions: Subshock therapy can not only increase survival rate of patients with traumatic shock in pre-hospital care but also reduce the occurrence rate of complications and death rate. It has good prognosis and is worthy of extensive clinical promotions.Author(s): Kun Zhang, Neng Zhu, Chun-Gang Fan, Lei Yao