The Effect of Sodium Bicarbonate Ringer's Limited Resuscitation on Blood Gas Analysis Indicators and TEG Parameters with Traumatic Hemorrhagic Shock
WANG Wenkun
Abstract：Objective To investigate the effects of restrictive resuscitation with sodium bicarbonate Ring-er's solution on patients with traumatic hemorrhagic shock.Methods A retrospective analysis was conducted on the clinical data of 78 patients with traumatic hemorrhagic shock treated at our hospital from October 2021 to October 2023.The patients were divided into two groups based on the treatment method:the control group(39 pa-tients)received restrictive resuscitation with lactated Ringer's solution,while the observation group(39 patients)received restrictive resuscitation with sodium bicarbonate Ringer's solution.The inflammatory factors,blood gas analysis parameters,and thermo-electric generation(TEG)parameters were compared between the two groups.Results After treatment,the observation group had significantly higher levels of interleukin-10(IL-10),interleu-kin-4(IL-4),carotid bulb oxygen saturation,pH value,and maximum clot firmness(MA)compared to the control group(P＜0.05).Tumor necrosis factor-alpha(TNF-α),interleukin-6(IL-6),interleukin-1β(IL-1β),arterial blood lactate,clot formation time(K),and reaction time(R)were lower in the observation group compared to the control group,with statistically significant differences(P＜0.05).Conclusion Restrictive resuscitation with sodium bi-carbonate Ringer's solution shows better therapeutic effects,effectively inhibiting the expression of inflammatory factors,and regulating blood gas analysis parameters and TEG parameters.
Keywords：shocktraumaticrestrictive resuscitationbicarbonate Ringer's solutionblood gas analysis pa-rametersTEG parameters
Publication Date：2024-08-28
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：4( 877-880 )