Effects of temperature management combined with limited fluid resuscitation on hypothermia and stress response in patients with multiple injury and hemorrhagic shock
Objective To explore the effects of temperature management combined with limited fluid resuscitation on hypothermia and stress response in patients with multiple injury and hemorrhagic shock.Methods A total of 80 patients with multiple injury and hemorrhagic shock admitted from January 2020 to October 2022 were selected as the research objects.The patients were divided into control group and observation group by random number table method,with 40 cases in each group.The control group received routine symptomatic management+limited fluid resuscitation intervention,and the observation group received temperature management on the basis of the control group.The intervention effects of the two groups were compared.Results The incidences of restlessness,chills and hypothermia in the observation group were lower than those in the control group,and the differences were statistically significant(P<0.05).After awakening,the levels of adrenocorticotropic hormone(ACTH),corticotropin-releasing hormone(CRH),cortisol(Cor)and norepinephrine(NE)in the observation group were lower than those in the control group,and the differences were statistically significant(P<0.05).After awakening,the mean arterial pressure(MAP),cardiac output(CO)and cardiac index(CI)of the observation group were higher than those of the control group,the stroke volume variation(SVV)was lower than that of the control group,and the differences were statistically significant(P<0.05).Conclusion Temperature management combined with limited fluid resuscitation for resuscitation intervention in patients with multiple injury and hemorrhagic shock can reduce the incidences of hypothermia and related adverse events,improve hemodynamic parameters,and alleviate the body's stress response,which is worthy of promotion.
temperature managementlimited fluid resuscitationmultiple injuryhemorrhagic shockhemodynamic parameterstress responsehypothermia
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