“三定”急救护理在异位妊娠破裂出血患者中的应用

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摘要目的探讨“三定”急救护理在异位妊娠（EP）破裂出血患者中的应用。方法选择2018年1月—2020年1月首都医科大学附属北京妇产医院收治EP破裂出血患者60例，根据随机数字表法分为对照组和观察组，各30例。观察组实施“三定”急救护理，对照组实施常规急救护理。比较两组抢救成功率及急救时间；比较干预后两组休克指数；比较干预前后两组活化部分凝血活酶时间（APTT）及凝血酶原时间（PT）。结果两组抢救成功率比较，差异无统计学意义（P ＞ 0.05）；观察组总救护时间及抢救时间均短于对照组（均P ＜ 0.05），干预后休克指数优于对照组（P ＜ 0.05），APTT及PT均短于干预前，且观察组短于对照组（均P ＜ 0.05）。结论 “三定”急救护理可在一定程度上提高EP破裂出血患者抢救成功率，缩短急救时间，并可预防休克发生，改善凝血功能。

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	吕元葳董淼

关键词 ：异位妊娠, 破裂出血, &ldquo, 三定&rdquo, 急救护理, 抢救成功率, 休克指数, 凝血功能

Abstract：Objective To explore the application of “three fixed” emergency care of rupture and bleeding in patients with ectopic pregnancy. Methods From January 2018 to January 2020, 60 EP patients with rupture and bleeding treated in Beijing Obstetrics and Gynecology Hospital, Capital Medical University were selected. According to the random number table method, they were divided into control group and observation group, with 30 cases in each group. The observation group was received “three fixed” emergency care, and the control group was received routine emergency care. The rescue success rate and first aid time were compared between the two groups. The shock index of the two groups was compared after intervention. Activated partial thromboplastin time (APTT) and prothrombin time (PT) were compared before and after intervention. Results There was no significant difference in the rescue success rate between the two groups (P ＞ 0.05); the total emergency rescue time and rescue time of observation group were shorter than those of control group (all P ＜ 0.05), the shock index after intervention was better than that of the control group (P ＜ 0.05), APTT and PT were shorter than those before intervention, and the observation group was shorter than the control group (all P ＜ 0.05). Conclusion “Three fixed” emergency care can improve the rescue success rate of EP patients with rupture and bleeding to a certain extent, shorten the emergency time, prevent shock and improve the coagulation function of patients.

Key words： Ectopic pregnancy Rupture and bleeding “Three fixed&rdquo emergency care Rescue success rate Shock index Coagulation function

引用本文:

吕元葳董淼. “三定”急救护理在异位妊娠破裂出血患者中的应用[J]. 中国医药导报, 2021, 18(10): 180-183.
LYU Yuanwei DONG Miao. Application of “three fixed” emergency care of rupture and bleeding in patients with ectopic pregnancy. 中国医药导报, 2021, 18(10): 180-183.

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