CAJ | 학술논문

目的观察抗休克煎剂治疗烧伤休克的临床效果.方法将2008年3月至2010年10月江苏省无锡市中西医结合医院收治的40例重度烧伤休克患者以随机数据表法分为两组各20例,对照组患者采用常规抗休克治疗,治疗组在对照组治疗基础上鼻饲抗休克煎剂,1剂/d,150 ml/剂.观察并记录两组患者复苏前、复苏后24、48、72 h的血乳酸值,心率、尿量及烦躁、口渴、汗出、肢厥等体征和临床症状的变化情况.结果入院72 h时,治疗组血乳酸值、心率、尿量改善均优于对照组(t值分别为10.485、3.219、7.429,P均＜0.01),烦躁、口渴、汗出、肢厥休克症状的消失优于对照组(x2值分别为10.16、7.37、5.63、4.29,P均＜0.05).结论抗休克煎剂配合治疗重度烧伤休克,可使患者平稳度过休克期,减少后期并发症.
목적 관찰항휴극전제치료소상휴극적림상효과.방법 장2008년3월지2010년10월강소성무석시중서의결합의원수치적40례중도소상휴극환자이수궤수거표법분위량조각20례,대조조환자채용상규항휴극치료,치료조재대조조치료기출상비사항휴극전제,1제/d,150 ml/제.관찰병기록량조환자복소전、복소후24、48、72 h적혈유산치,심솔、뇨량급번조、구갈、한출、지궐등체정화림상증상적변화정황.결과 입원72 h시,치료조혈유산치、심솔、뇨량개선균우우대조조(t치분별위10.485、3.219、7.429,P균＜0.01),번조、구갈、한출、지궐휴극증상적소실우우대조조(x2치분별위10.16、7.37、5.63、4.29,P균＜0.05).결론 항휴극전제배합치료중도소상휴극,가사환자평은도과휴극기,감소후기병발증.
Objective To observe the clinical effect of Kangxiuke apozem in the treatment of severe bum shock.Methods 40 patients of severe burn shock were randomly divided into a treatment group and a control group,with 20 patients in each group.All the patients were treated by the same route of counter-shock therapy,and the treatment group was additionally given Kangxiuke apozem (nasal feeding,qd,150 ml/d).Level of blood lactic acid,heart rate and urinary volume were evaluated by time.Main shock symptoms,including restlessness,hydrodipsia,perspiration and coldness,were observed.Results The treatment group was significantly superior to the control group in the amelioration of blood lactic acid,heart rate and urinary volume ( t =10.485、3.219、7.429,P＜ 0.01 ).The symptomatic extinction of restlessness,hydrodipsia,perspiration and coldness in the extremities in the treatment group were significantly superior to those in the control group (x2=10.16、7.37、5.63、4.29,P＜0.05).Conclusion At the same time of routine counter-shock therapy,thereby prompt burn patients to smoothly go through shock period and decreas late complications.