环球中医药
環毬中醫藥
배구중의약
GLOBAL TCM
2014年
11期
830-832
,共3页
葛根素注射液%无创通气%急性心源性肺水肿%呼吸衰竭
葛根素註射液%無創通氣%急性心源性肺水腫%呼吸衰竭
갈근소주사액%무창통기%급성심원성폐수종%호흡쇠갈
Puerarin Injection%Noninvasive ventilation%Pulmonary edema%Respiratory failure
目的：评价葛根素注射液治疗联合无创通气急性心源性肺水肿患者的临床疗效。方法将62例心源性肺水肿患者随机分为对照组30例、治疗组32例。两组均给以利尿、扩血管、强心、纠正电解质紊乱等综合治疗,并给予无创呼吸机辅助通气治疗。治疗组在对照组治疗基础上,加用葛根素注射液0．4 g静脉输液,疗程为10天。结果(1)两组患者治疗10天后进行临床疗效评价,治疗组总有效率为87．5%,对照组总有效率56．6%。治疗组临床疗效较好,经χ2检验, P<0．05,差异有显著性。(2)两组治疗前后心率、血压、呼吸频率、动脉血气、心脏指数、射血分数及左室内径均有改善(P<0．05),治疗组改善更为显著(P<0．01)。结论葛根素注射液联合无创机械通气治疗急性心源性肺水肿患者疗效确切肯定。
目的：評價葛根素註射液治療聯閤無創通氣急性心源性肺水腫患者的臨床療效。方法將62例心源性肺水腫患者隨機分為對照組30例、治療組32例。兩組均給以利尿、擴血管、彊心、糾正電解質紊亂等綜閤治療,併給予無創呼吸機輔助通氣治療。治療組在對照組治療基礎上,加用葛根素註射液0．4 g靜脈輸液,療程為10天。結果(1)兩組患者治療10天後進行臨床療效評價,治療組總有效率為87．5%,對照組總有效率56．6%。治療組臨床療效較好,經χ2檢驗, P<0．05,差異有顯著性。(2)兩組治療前後心率、血壓、呼吸頻率、動脈血氣、心髒指數、射血分數及左室內徑均有改善(P<0．05),治療組改善更為顯著(P<0．01)。結論葛根素註射液聯閤無創機械通氣治療急性心源性肺水腫患者療效確切肯定。
목적：평개갈근소주사액치료연합무창통기급성심원성폐수종환자적림상료효。방법장62례심원성폐수종환자수궤분위대조조30례、치료조32례。량조균급이이뇨、확혈관、강심、규정전해질문란등종합치료,병급여무창호흡궤보조통기치료。치료조재대조조치료기출상,가용갈근소주사액0．4 g정맥수액,료정위10천。결과(1)량조환자치료10천후진행림상료효평개,치료조총유효솔위87．5%,대조조총유효솔56．6%。치료조림상료효교호,경χ2검험, P<0．05,차이유현저성。(2)량조치료전후심솔、혈압、호흡빈솔、동맥혈기、심장지수、사혈분수급좌실내경균유개선(P<0．05),치료조개선경위현저(P<0．01)。결론갈근소주사액연합무창궤계통기치료급성심원성폐수종환자료효학절긍정。
Objective To evaluate the clinical effect of treating patients with acute cardiac pulmo-nary edema by using Puerarin Injection with noninvasive ventilation therapy. Methods 62 patients with cardiac pulmonary edema were randomly divided into two groups: the control group, with 32 cases and treatment group with 30 cases. Two groups were given comprehensive treatment, such as diuretic, expan-ding blood vessels, strengthening heart, correcting electrolyte disorder and so on, the control group was given oxygen treatment. , Based on the above treatment, the treatment group was given Puerarin Injection 0. 4 g intravenous drip with noninvasive ventilator assisted ventilation therapy. The course of treatment was 10 days. Results (1) The patients in the two groups were given evaluation of clinical curative effect after 10 days of treatment. The total effective rate was 87. 5%, and the total effectiveness of control group was 56. 6%. The clinical effect of treatment group is better, and through theχ2 test, P< 0. 05, the difference was of statistic significance. (2) the heart rate, blood pressure, respiratory frequency, arterial blood and qi, cardiac index, ejection fraction and left ventricular diameter of the two groups before and after treatment were both improved (P<0. 05), the treatment group was improved more significantly (P< 0. 01). Con-clusion Puerarin Injection joint noninvasive mechanical ventilation in the treatment of acute cardiac pul-monary edema patients curative effect affirmation.
