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大面积烧伤液体复苏方法对比研究
Comparative Study on Fluid Resuscitation Treatment in Treating Extensive Burns

张宏,林国安.大面积烧伤液体复苏方法对比研究[J].中国烧伤创疡杂志,2013,25(4):281~283.

DOI：

中文关键词: 烧伤休克复苏补液公式

英文关键词:Burn Shock Resuscitation Fluid infusion Formula

基金项目:

作者	单位
张宏	山东烟台第107医院烧伤整形科
林国安	第159医院烧伤科

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中文摘要:

目的　探讨大面积烧伤患者休克期的液体复苏方法。方法　将156例大面积烧伤休克期患者按体重指数（BMI）分为3组，1组BMI＜24，2组BMI为24～27，3组BMI＞27，分别用中国烧伤液体复苏公式和体表面积液体复苏公式计算第一个24h的晶、胶体溶液补液量，并进行对比分析。结果　体表面积液体复苏公式估算量平均为6620.79 ml±610.90 ml，稍多于中国烧伤液体复苏公式平均估算量6287.02 ml±1149.79 ml（P＜0.01）。进一步分析，体重指数为24～27时，两公式计算量无差异；BMI＜24时中国烧伤液体复苏公式估算量偏少；BMI＞27时中国烧伤液体复苏公式估算量偏多。结论　传统公式估算补液量受体重影响，新公式去除了体重参数，避免了对估算量的影响，并引入体表面积参数矫正烧伤面积，扩大了公式的适用范围，可用于各类人群和各类烧伤的复苏补液量估算。

英文摘要:

Objective To explore the methods of fluid resuscitation in the shock stage of extensive burn patients. Methods A total of 156 extensive burn patients at the shock stage were divided into 3 groups according to body mass index (BMI): BMI of Group 1 < 24, BMI of Group 2 is between 24 and 27, and BMI of Group 3 > 27. The fluid replacement volume of crystalloid solution and colloidal solution at the first 24 hours was calculated by using Chinese Fluid Resuscitation Formula for Burns and the Body Surface Area Resuscitation Formula, for which a comparative analysis was carried out. Results The estimated mean volume by the Body Surface Area Resuscitation Formula was slightly larger than that calculated by Chinese Fluid Resuscitation Formula for Burns, 6620.79 ml±610.90 ml vs. 6287.02 ml±1149.79 ml（P<0.01）. Further analysis showed that there was no difference between the two formulas in the Group 2, the estimated volume by Chinese Fluid Resuscitation Formula for Burns in Group 1 was less while that in Group 3 was more. Conclusion The fluid replacement volume calculated by the traditional resuscitation formula, i.e. the Body Surface Area Resuscitation Formula, will be affected by body mass index but Chinese Fluid Resuscitation Formula for Burns as a new formula is not. By introducing the parameter of body surface area to correct the TBSA, the application scope of the new formula was expanded to be used to estimate the fluid replacement volume for various patients with a variety of burns.