CAJ | 학술논문

目的探讨口服补液盐(ORS)治疗成人急性腹泻患者补液治疗的临床效果.方法 136例成人急性腹泻患者被纳入研究,69例随机分入口服补液治疗组(ORT组),临床评估为轻、中度脱水的患者采用ORS治疗.重度脱水患者早期采取静脉和ORS联合治疗,恢复至轻中度脱水后仅服用ORS.67例随机进入静脉输液组(IVT组),采用静脉补液治疗脱水.补液以外的其他治疗两组相似.比较两组患者的临床转归.结果 ORT组和IVT组在临床脱水纠正率、腹泻好转时间、不同时间电解质和酸碱紊乱恢复率问差异无统计学意义(P>0.05).结论 ORS治疗成人急性腹泻脱水患者安全有效、简便易行,能在很大程度上减少静脉输液使用率.
목적 탐토구복보액염(ORS)치료성인급성복사환자보액치료적림상효과.방법 136례성인급성복사환자피납입연구,69례수궤분입구복보액치료조(ORT조),림상평고위경、중도탈수적환자채용ORS치료.중도탈수환자조기채취정맥화ORS연합치료,회복지경중도탈수후부복용ORS.67례수궤진입정맥수액조(IVT조),채용정맥보액치료탈수.보액이외적기타치료량조상사.비교량조환자적림상전귀.결과 ORT조화IVT조재림상탈수규정솔、복사호전시간、불동시간전해질화산감문란회복솔문차이무통계학의의(P>0.05).결론 ORS치료성인급성복사탈수환자안전유효、간편역행,능재흔대정도상감소정맥수액사용솔.
Objective To evaluate the effects on fluid infusion with oral rehydration salt (ORS) in adult acute infec-tious diarrhea patients. Methods A total of 136 patients were included in the study, 69 of whom received ORS treatment as observation group and another 67 of whom received intravenous transfusion treatment as control group, randomly. Severe dehydrated patients in observation group were treated with ORS and intravenous transfusion in the early stage, and then ORS only. Other therapeutic measures were similar in the two groups. Clinical effects of two different groups were compared. Results There were no significant difference between treatment groups in recovery time of dehydration, diarrhea, electrolyte disturbances and acid base disorder ( P > 0. 05 ). Conclusion These results suggest that ORS is safe and effective in treating adult acute infectious di-arrhea patients, which can reduce the usage of venous transfusion remarkably.