CAJ | 학술논문

目的：观察生脉注射液联合应用马来酸桂哌齐特注射液临床抗休克疗效。方法64例休克患者随机分为观察组和对照组，各32例，两组均采用常规抗休克治疗：病因治疗+扩容(低分子右旋糖酐等)+补碱(5%碳酸氢钠)+血管活性药物(阿拉明、多巴胺)。观察组加用生脉注射液及马来酸桂哌齐特注射液治疗，对照组加用参麦注射液治疗。两组当日输液量基本相等，当日治疗结束后(24 h内)观察比较两组患者休克纠正情况，记录不良反应。结果两组患者总有效率比较，观察组90.6%优于对照组的71.9%，差异具有统计学意义(P<0.05)。结论在抗休克治疗中加用生脉注射液及马来酸桂哌齐特注射液能明显促进休克好转，提高疗效。
목적：관찰생맥주사액연합응용마래산계고제특주사액림상항휴극료효。방법64례휴극환자수궤분위관찰조화대조조，각32례，량조균채용상규항휴극치료：병인치료+확용(저분자우선당항등)+보감(5%탄산경납)+혈관활성약물(아랍명、다파알)。관찰조가용생맥주사액급마래산계고제특주사액치료，대조조가용삼맥주사액치료。량조당일수액량기본상등，당일치료결속후(24 h내)관찰비교량조환자휴극규정정황，기록불량반응。결과량조환자총유효솔비교，관찰조90.6%우우대조조적71.9%，차이구유통계학의의(P<0.05)。결론재항휴극치료중가용생맥주사액급마래산계고제특주사액능명현촉진휴극호전，제고료효。
Objective To observe the curative effect of Shengmai injection combined with cinepazide maleate for antishock. Methods A total of 64 shock patients were randomly divided into observation group and control group, with 32 cases in each group. Both groups received conventional antishock treatment as etiological treatment+dilatation (low molecular dextran, etc)+alkali supplement (5%sodium bicarbonate)+vasoactive agent (aramine, dopamine). The observation group received additional Shengmai injection and cinepazide maleate injection, and the control group received Shenmai injection. Both groups had the same daily infusion quantity. Their shock correction conditions after daily treatment (within 24 h) were observed, and their adverse reactions were recorded. Results Comparison of between the two groups showed that the observation group had better total effective rate as 90.6%than 71.9%of the control group, and their difference had statistical significance (P<0.05). Conclusion Additional application of Shengmai injection and cinepazide maleate in antishock treatment can obviously enhance recovery and improve curative effect.