CAJ | 학술논문

目的：研究急诊低血容量性休克液体复苏过程中给予钠钾镁钙葡萄糖注射液的方法和效果。方法选择2011年7月至2014年2月我院急诊低血容量性休克患者共52例为临床研究对象，将患者随机分为两组。对照组共26例，使用乳酸林格液常规液体复苏；实验组患者26例，给予钠钾镁钙葡萄糖注射液复苏，观察比较患者治疗前后的血钾、钠、钙、镁等值；测定复苏1h后患者平均动脉压（MAP）和心率。结果实验组患者在复苏1h后，患者的血钠、血钾、血钙、血镁相关指标均优于对照组患者，经统计学分析，P＜0.05，差异有统计学意义；实验组患者在复苏1h后，MAP更高，患者心率相对较低，与对照组比较，P＜0.05，差异有统计学意义。结论对急诊低血容量性休克液体复苏的患者给予钠钾镁钙葡萄糖注射液救治临床效果更好，有助于维持机体内环境的稳定，值得临床推广。
목적：연구급진저혈용량성휴극액체복소과정중급여납갑미개포도당주사액적방법화효과。방법선택2011년7월지2014년2월아원급진저혈용량성휴극환자공52례위림상연구대상，장환자수궤분위량조。대조조공26례，사용유산림격액상규액체복소；실험조환자26례，급여납갑미개포도당주사액복소，관찰비교환자치료전후적혈갑、납、개、미등치；측정복소1h후환자평균동맥압（MAP）화심솔。결과실험조환자재복소1h후，환자적혈납、혈갑、혈개、혈미상관지표균우우대조조환자，경통계학분석，P＜0.05，차이유통계학의의；실험조환자재복소1h후，MAP경고，환자심솔상대교저，여대조조비교，P＜0.05，차이유통계학의의。결론대급진저혈용량성휴극액체복소적환자급여납갑미개포도당주사액구치림상효과경호，유조우유지궤체내배경적은정，치득림상추엄。
Objective To study the emergency hypovolemic shock lfuid resuscitation, sodium, potassium, magnesium, calcium process to give glucose injection methods and results. Methods July 2011 - February 2014 in our hospital emergency department patients with hypovolemic shock were 52 cases of clinical study, patients were randomly divided into two groups. Control group of 26 patients using conventional lfuid resuscitation Ringer's lactate;26 cases of patients in the experimental group, given the sodium, potassium, magnesium, calcium and glucose injection recovery, patients were compared before and after potassium treatment, sodium, calcium, magnesium equivalent; determination 1 h after resuscitation of patients in mean arterial pressure (MAP) and heart rate.Result Patients Experimental group after resuscitation 1 h, the patient's serum sodium, potassium, calcium, magnesium blood-related indicators are better than the control group of patients, the statistical analysis, P<0.05, signiifcant difference;patients in the experimental group after recovery 1h, MAP higher heart rate is relatively low, compared with the control group, P<0.05, the difference was statistically signiifcant. Conclusions Patients with hypovolemic shock emergency resuscitation sodium, potassium, magnesium, calcium given glucose injection treatment and better clinical results, helps to maintain a stable internal environment, worthy of promotion.