中外医疗
中外醫療
중외의료
CHINA FOREIGN MEDICAL TREATMENT
2014年
33期
38-39
,共2页
大剂量沐舒坦%胸部创伤%肺挫伤
大劑量沐舒坦%胸部創傷%肺挫傷
대제량목서탄%흉부창상%폐좌상
Large dose of mucosolvin%Chest trauma%Pulmonary contusion
分析大剂量沐舒坦在胸部创伤所致肺挫伤中的应用效果。方法收集2012年06月—2014年6月该院收治的66例胸部创伤所致肺挫伤患者临床资料，按照不同的剂量方法，将患者分为大剂量组33例、小剂量组33例。两组患者均采取常规综合治疗，大剂量组患者加以大剂量沐舒坦治疗，小剂量组患者加以小剂量沐舒坦治疗，最后分析两组患者的临床治疗效果。结果与小剂量组治疗有效率57.58%对比，大剂量组患者治疗总有效率明显更高为84.85%(P<0.05)。与小剂量组患者肺部感染、肺不张并发症发生率30.30%对比，大剂量组患者并发症发生率明显更低为9.09%(P<0.05)。治疗后，在PaO2、PaCO2、SaO2等指标改善方面，大剂量组患者明显优于对照组(P<0.05)。结论大剂量沐舒坦治疗胸部创伤所致肺挫伤，疗效显著，有利于降低肺部并发症发生率，促进肺功能恢复，值得临床推广。
分析大劑量沐舒坦在胸部創傷所緻肺挫傷中的應用效果。方法收集2012年06月—2014年6月該院收治的66例胸部創傷所緻肺挫傷患者臨床資料，按照不同的劑量方法，將患者分為大劑量組33例、小劑量組33例。兩組患者均採取常規綜閤治療，大劑量組患者加以大劑量沐舒坦治療，小劑量組患者加以小劑量沐舒坦治療，最後分析兩組患者的臨床治療效果。結果與小劑量組治療有效率57.58%對比，大劑量組患者治療總有效率明顯更高為84.85%(P<0.05)。與小劑量組患者肺部感染、肺不張併髮癥髮生率30.30%對比，大劑量組患者併髮癥髮生率明顯更低為9.09%(P<0.05)。治療後，在PaO2、PaCO2、SaO2等指標改善方麵，大劑量組患者明顯優于對照組(P<0.05)。結論大劑量沐舒坦治療胸部創傷所緻肺挫傷，療效顯著，有利于降低肺部併髮癥髮生率，促進肺功能恢複，值得臨床推廣。
분석대제량목서탄재흉부창상소치폐좌상중적응용효과。방법수집2012년06월—2014년6월해원수치적66례흉부창상소치폐좌상환자림상자료，안조불동적제량방법，장환자분위대제량조33례、소제량조33례。량조환자균채취상규종합치료，대제량조환자가이대제량목서탄치료，소제량조환자가이소제량목서탄치료，최후분석량조환자적림상치료효과。결과여소제량조치료유효솔57.58%대비，대제량조환자치료총유효솔명현경고위84.85%(P<0.05)。여소제량조환자폐부감염、폐불장병발증발생솔30.30%대비，대제량조환자병발증발생솔명현경저위9.09%(P<0.05)。치료후，재PaO2、PaCO2、SaO2등지표개선방면，대제량조환자명현우우대조조(P<0.05)。결론대제량목서탄치료흉부창상소치폐좌상，료효현저，유리우강저폐부병발증발생솔，촉진폐공능회복，치득림상추엄。
Objective To analyze the application effect of large dose of mucosolvin on pulmonary contusion caused by chest trau-ma. Methods The clinical data of 66 cases with pulmonary contusion caused by chest trauma admitted in our hospital from June 2012 to June 2014 were selected. The patients were divided into the large dose group and small dose group with 33 cases in each according to the different dose used. Based on the conventional comprehensive treatment, the large dose group was given large dose of mucosolvin and small dose group was given small dose of mucosolvin for treatment. And the clinical treatment effects of the two groups were analyzed. Results The total effective rate of the large dose group was 84.85%, significantly higher than 57.58%of the small dose group(P<0.05). The incidence of complications such as lung infection and atelectasis of the large dose group was 9.09%, much lower than 30.30% of the control group (P<0.05). After treatment, the improvement in PaO2, PaCO2, SaO2 and so on of the large dose group was obviously better than that of the control group (P<0.05). Conclusion For pulmonary contusion caused by chest trauma, large dose of mucosolvin has distinct curative effect, which is conducive to reducing the incidence of pul-monary complications, and promoting the recovery of the lung function, so it is worth clinical promotion.
