中国医学创新
中國醫學創新
중국의학창신
MEDICAL INNOVATION OF CHINA
2014年
7期
35-37
,共3页
微量%肝素钠%小儿重症肺炎%疗效观察
微量%肝素鈉%小兒重癥肺炎%療效觀察
미량%간소납%소인중증폐염%료효관찰
Trace%Heparin sodium%Children with severe pneumonia%Therapeutic observation
目的：探讨微量肝素钠治疗小儿重症肺炎的临床疗效。方法：选取2011年12月-2013年5月本科收治的80例住院重症肺炎患儿，按照入院顺序随机将其分为治疗组和对照组各40例。两组患儿均按重症肺炎常规治疗，治疗组在此基础上加用肝素钠每次6 U/kg，静脉推注每6小时1次，连用5 d，观察比较两组患儿的临床疗效。结果：治疗组显效24例，有效14例，总有效率为95.0%，对照组显效16例，有效10例，总有效率为65.0%，治疗组的总有效率明显高于对照组，差异有统计学意义（P<0.05）。结论：微量肝素钠治疗小儿重症肺炎，对血小板及凝血机制无影响，疗效显著，安全可靠，值得广大基层临床推广。
目的：探討微量肝素鈉治療小兒重癥肺炎的臨床療效。方法：選取2011年12月-2013年5月本科收治的80例住院重癥肺炎患兒，按照入院順序隨機將其分為治療組和對照組各40例。兩組患兒均按重癥肺炎常規治療，治療組在此基礎上加用肝素鈉每次6 U/kg，靜脈推註每6小時1次，連用5 d，觀察比較兩組患兒的臨床療效。結果：治療組顯效24例，有效14例，總有效率為95.0%，對照組顯效16例，有效10例，總有效率為65.0%，治療組的總有效率明顯高于對照組，差異有統計學意義（P<0.05）。結論：微量肝素鈉治療小兒重癥肺炎，對血小闆及凝血機製無影響，療效顯著，安全可靠，值得廣大基層臨床推廣。
목적：탐토미량간소납치료소인중증폐염적림상료효。방법：선취2011년12월-2013년5월본과수치적80례주원중증폐염환인，안조입원순서수궤장기분위치료조화대조조각40례。량조환인균안중증폐염상규치료，치료조재차기출상가용간소납매차6 U/kg，정맥추주매6소시1차，련용5 d，관찰비교량조환인적림상료효。결과：치료조현효24례，유효14례，총유효솔위95.0%，대조조현효16례，유효10례，총유효솔위65.0%，치료조적총유효솔명현고우대조조，차이유통계학의의（P<0.05）。결론：미량간소납치료소인중증폐염，대혈소판급응혈궤제무영향，료효현저，안전가고，치득엄대기층림상추엄。
Objective:To investigate the clinical effect of trace heparin sodium in the treatment of pediatric severe pneumonia.Method:80 hospitalized children with severe pneumonia were selected from December 2011 to May 2013 in our hospital and according to the order of admission they were randomly divided into the treatment group and the control group, 40 cases in each group.The two groups were treated with with the conventional treatment of severe pneumonia.On the basis of conventional method,the treatment group was treated with heparin sodium in the dose of 6 U/kg,and infused intravenously every six hours,for 5 days.The therapeutic effects of the two groups were observed and compared.Result:In the treatment group 24 cases were markedly improved,effective was 14 cases,the total effective rate was 95.0%,in the control group 16 cases were markedly improved,10 cases were effective,the total effective rate was 65.0%,the total effective rate in treatment group was significantly higher than the control group,the difference was statistically significant(P<0.05). Conclusion:Trace heparin sodium in the treatment of children with severe pneumonia has no side-effect on platelets and blood coagulation mechanisms.Therapeutic effect is remarkable,safe and reliable.This method was worthy of lots of grassroots hospital clinical promotion.
