中国医药指南
中國醫藥指南
중국의약지남
CHINA MEDICINE GUIDE
2015年
21期
8-9
,共2页
高渗糖胰岛素%咽瘘%疗效
高滲糖胰島素%嚥瘺%療效
고삼당이도소%인루%료효
Hypertonic glucose and insulin%Pharyngeal ifstula%Therapeutic effect
目的：探讨高渗糖胰岛素换药治疗咽瘘的疗效。方法实验组（50%葡萄糖+胰岛素组）35例，各种原因导致咽瘘形成，用高渗糖胰岛素局部清洗并以纱条形式留于瘘口。对照组（庆大霉素+生理盐水组）亦为各种原因导致咽瘘形成者25例，采用庆大霉素加生理盐水冲洗瘘口，并以纱条形式留于瘘口。结果实验组伤口愈合率94.3%，2例未愈合；对照组伤口愈合率76%，6例未愈合，P<0.05，两组差异有统计学意义；实验组平均住院（20.6±3.5）d，对照组平均住院（26.7±3.4）d，P<0.01，两组差异有统计学意义。结论高渗糖胰岛素较庆大霉素治疗咽瘘愈合有良好的效果，且方法简单易行，见效快，花费少，患者痛苦小，易被接受，值得临床推广。
目的：探討高滲糖胰島素換藥治療嚥瘺的療效。方法實驗組（50%葡萄糖+胰島素組）35例，各種原因導緻嚥瘺形成，用高滲糖胰島素跼部清洗併以紗條形式留于瘺口。對照組（慶大黴素+生理鹽水組）亦為各種原因導緻嚥瘺形成者25例，採用慶大黴素加生理鹽水遲洗瘺口，併以紗條形式留于瘺口。結果實驗組傷口愈閤率94.3%，2例未愈閤；對照組傷口愈閤率76%，6例未愈閤，P<0.05，兩組差異有統計學意義；實驗組平均住院（20.6±3.5）d，對照組平均住院（26.7±3.4）d，P<0.01，兩組差異有統計學意義。結論高滲糖胰島素較慶大黴素治療嚥瘺愈閤有良好的效果，且方法簡單易行，見效快，花費少，患者痛苦小，易被接受，值得臨床推廣。
목적：탐토고삼당이도소환약치료인루적료효。방법실험조（50%포도당+이도소조）35례，각충원인도치인루형성，용고삼당이도소국부청세병이사조형식류우루구。대조조（경대매소+생리염수조）역위각충원인도치인루형성자25례，채용경대매소가생리염수충세루구，병이사조형식류우루구。결과실험조상구유합솔94.3%，2례미유합；대조조상구유합솔76%，6례미유합，P<0.05，량조차이유통계학의의；실험조평균주원（20.6±3.5）d，대조조평균주원（26.7±3.4）d，P<0.01，량조차이유통계학의의。결론고삼당이도소교경대매소치료인루유합유량호적효과，차방법간단역행，견효쾌，화비소，환자통고소，역피접수，치득림상추엄。
ObjectiveThe clinical efifcacy on the hypertonic glucose and insulin in treating pharyngeal ifstula.Methods35 patients on experimental group,use hypertonic glucose and insulin, once a day; 25 patients on control group,use gentamicin and physiological saline, once a day.ResultIn the treatment group ,2 cases were invalid, the total effective rate was 94.3%.In the control group, 6 cases were invalid, the total effective rate was 76%. The difference between the two groups was statistically signiifcant (P<0.05).The mean hospital stay was(20.6±3.5)days in the treatment group,while in the control group was(26.7±3.4)days.The difference has statistically signiifcant(P<0.01).ConclusionHypertonic glucose insulin than gentamicin in the treatment of pharyngeal ifstula healing has better effect,and the method is simple,quick,low cost, little pain,easily accepted,is worth the clinica.
