医学研究与教育
醫學研究與教育
의학연구여교육
MEDICAL RESEARCH AND EDUCATION
2015年
2期
50-53
,共4页
失血性休克%醋酸钠林格注射液%乳酸林格注射液%血气
失血性休剋%醋痠鈉林格註射液%乳痠林格註射液%血氣
실혈성휴극%작산납림격주사액%유산림격주사액%혈기
hemorrhagic shock%acetate ringers solution%lactated ringers solution%arterial blood gas
目的:比较醋酸钠林格注射液与乳酸钠林格注射液对失血性休克患者代谢性酸中毒的影响。方法失血性休克患者50例,按随机数字表法分为醋酸钠林格注射液组(A组)、乳酸钠林格注射液组(L组),每组25例。观察诱导前(T0),诱导后1 h(T1)、2 h(T2)、3 h(T3)、4 h(T4)患者血液pH值、血乳酸值(LAC)、碱剩余(BE),HCO3-值及NaHCO3用量。结果2组患者在ASA分级、手术时间、术中输入试验晶体液量、失血量这5项指标差异均无统计学意义(P>0.05)。A组在T3时间点较L组pH值显著改善(P<0.05);A组T2时间点LAC值较T0点显著降低(P<0.05),L组T2、T3、T4时间点LAC值较T0点明显升高(P<0.05),且在T2、T3、T4时间点LAC值L组较A组显著升高(P<0.05);NaHCO3用量A组比L组减少(P<0.05);BE值两组间比较无显著差异。结论在失血性休克患者液体复苏过程中,醋酸钠林格注射液可使用更少NaHCO3用量、更快速改善血pH值,降低血乳酸水平。
目的:比較醋痠鈉林格註射液與乳痠鈉林格註射液對失血性休剋患者代謝性痠中毒的影響。方法失血性休剋患者50例,按隨機數字錶法分為醋痠鈉林格註射液組(A組)、乳痠鈉林格註射液組(L組),每組25例。觀察誘導前(T0),誘導後1 h(T1)、2 h(T2)、3 h(T3)、4 h(T4)患者血液pH值、血乳痠值(LAC)、堿剩餘(BE),HCO3-值及NaHCO3用量。結果2組患者在ASA分級、手術時間、術中輸入試驗晶體液量、失血量這5項指標差異均無統計學意義(P>0.05)。A組在T3時間點較L組pH值顯著改善(P<0.05);A組T2時間點LAC值較T0點顯著降低(P<0.05),L組T2、T3、T4時間點LAC值較T0點明顯升高(P<0.05),且在T2、T3、T4時間點LAC值L組較A組顯著升高(P<0.05);NaHCO3用量A組比L組減少(P<0.05);BE值兩組間比較無顯著差異。結論在失血性休剋患者液體複囌過程中,醋痠鈉林格註射液可使用更少NaHCO3用量、更快速改善血pH值,降低血乳痠水平。
목적:비교작산납림격주사액여유산납림격주사액대실혈성휴극환자대사성산중독적영향。방법실혈성휴극환자50례,안수궤수자표법분위작산납림격주사액조(A조)、유산납림격주사액조(L조),매조25례。관찰유도전(T0),유도후1 h(T1)、2 h(T2)、3 h(T3)、4 h(T4)환자혈액pH치、혈유산치(LAC)、감잉여(BE),HCO3-치급NaHCO3용량。결과2조환자재ASA분급、수술시간、술중수입시험정체액량、실혈량저5항지표차이균무통계학의의(P>0.05)。A조재T3시간점교L조pH치현저개선(P<0.05);A조T2시간점LAC치교T0점현저강저(P<0.05),L조T2、T3、T4시간점LAC치교T0점명현승고(P<0.05),차재T2、T3、T4시간점LAC치L조교A조현저승고(P<0.05);NaHCO3용량A조비L조감소(P<0.05);BE치량조간비교무현저차이。결론재실혈성휴극환자액체복소과정중,작산납림격주사액가사용경소NaHCO3용량、경쾌속개선혈pH치,강저혈유산수평。
Objective To compare the effects of acetate ringers solution and lactated ringers solution on metabolic acidosis in patients with hemorrhagic shock. Methods 50 patients with hemorrhagic shock were divided equally into 2 groups randomly(n=25): the acetate ringers solution(group A) and lactated ringers group(group L). Changes of arterial blood gas and volume of NaHCO3 before and 1, 2, 3, 4h after induction respectively were observed. Results There were no statistics difference in the ASA grade, operation time, the volume of transfusion during operation and hemorrhage volume of both groups(P﹥0.05). pH in group A changed at time point of T3 respectively compared to group L(P<0.05). Serum lactate level(LAC) decreased at T2 compared to T0 time in group A(P<0.05). LAC level increased at T2, T3, T4 compared to T0 time in group L(P<0.05). LAC level in group L increased at time point of T2, T3, T4 compared to group A(P<0.05). Volume of NaHCO3 in group A decreased compared to group L (P<0.05). Conclusion Acetate ringers solution changes pH, decreases serum lactate level and decreases volume of NaHCO3 during lfuid resuscitation in hemorrhagic shock.