中国医学创新
中國醫學創新
중국의학창신
Medical Innovation of China
2015年
28期
139-142
,共4页
袁玉环%麦惠琼%刘二瑛%罗欢平
袁玉環%麥惠瓊%劉二瑛%囉歡平
원옥배%맥혜경%류이영%라환평
输液外渗%新生儿%复方丹参注射液%50％硫酸镁溶液%湿敷
輸液外滲%新生兒%複方丹參註射液%50％硫痠鎂溶液%濕敷
수액외삼%신생인%복방단삼주사액%50％류산미용액%습부
Transfusion exosmosis%Newborn%Compound Danshen injection%50％Magnesium sulfate solution%Wet compress
目的：观察比较复方丹参注射液和50％硫酸镁溶液湿敷治疗新生儿输液外渗的临床效果。方法：选取2011年9月-2014年7月于本院行静脉输液的新生儿共131例，均有输液外渗症状，随机分为对照组65例和观察组66例，对照组湿敷50％硫酸镁溶液治疗，观察组湿敷复方丹参注射液治疗，比较两组的消肿时间、显效时间、治疗效果及不良反应。结果：观察组的开始消肿、完全消肿、显效时间分别为（2.78±0.57）h、（9.12±1.13）h和（5.73±0.63）h，而对照组分别为（5.61±1.49）h、（16.32±1.43）h和（10.54±1.05）h，观察组时间均短于对照组，两组比较差异均有统计学意义（P<0.05）；观察组和对照组治疗总有效率分别为98.48%和73.85%，观察组高于对照组，两组比较差异有统计学意义（P<0.05）；观察组未出现明显不良反应，而对照组发生率为12.31%，观察组不良反应发生情况明显优于对照组，差异有统计学意义（P<0.05）。结论：对临床中出现输液外渗的新生儿应用复方丹参注射液湿敷，起效快，效果好，安全性高，值得推广。
目的：觀察比較複方丹參註射液和50％硫痠鎂溶液濕敷治療新生兒輸液外滲的臨床效果。方法：選取2011年9月-2014年7月于本院行靜脈輸液的新生兒共131例，均有輸液外滲癥狀，隨機分為對照組65例和觀察組66例，對照組濕敷50％硫痠鎂溶液治療，觀察組濕敷複方丹參註射液治療，比較兩組的消腫時間、顯效時間、治療效果及不良反應。結果：觀察組的開始消腫、完全消腫、顯效時間分彆為（2.78±0.57）h、（9.12±1.13）h和（5.73±0.63）h，而對照組分彆為（5.61±1.49）h、（16.32±1.43）h和（10.54±1.05）h，觀察組時間均短于對照組，兩組比較差異均有統計學意義（P<0.05）；觀察組和對照組治療總有效率分彆為98.48%和73.85%，觀察組高于對照組，兩組比較差異有統計學意義（P<0.05）；觀察組未齣現明顯不良反應，而對照組髮生率為12.31%，觀察組不良反應髮生情況明顯優于對照組，差異有統計學意義（P<0.05）。結論：對臨床中齣現輸液外滲的新生兒應用複方丹參註射液濕敷，起效快，效果好，安全性高，值得推廣。
목적：관찰비교복방단삼주사액화50％류산미용액습부치료신생인수액외삼적림상효과。방법：선취2011년9월-2014년7월우본원행정맥수액적신생인공131례，균유수액외삼증상，수궤분위대조조65례화관찰조66례，대조조습부50％류산미용액치료，관찰조습부복방단삼주사액치료，비교량조적소종시간、현효시간、치료효과급불량반응。결과：관찰조적개시소종、완전소종、현효시간분별위（2.78±0.57）h、（9.12±1.13）h화（5.73±0.63）h，이대조조분별위（5.61±1.49）h、（16.32±1.43）h화（10.54±1.05）h，관찰조시간균단우대조조，량조비교차이균유통계학의의（P<0.05）；관찰조화대조조치료총유효솔분별위98.48%화73.85%，관찰조고우대조조，량조비교차이유통계학의의（P<0.05）；관찰조미출현명현불량반응，이대조조발생솔위12.31%，관찰조불량반응발생정황명현우우대조조，차이유통계학의의（P<0.05）。결론：대림상중출현수액외삼적신생인응용복방단삼주사액습부，기효쾌，효과호，안전성고，치득추엄。
Objective:To observe and compare the clinical effect of compound Danshen injection and 50%Magnesium sulfate solution wet packing in treatment of neonatal transfusion exosmose. Method:131 newborn with intravenous infusion in our hospital were chosen from September 2011 to July 2014.All patients had symptoms of infusion extravasation and were randomly divided into the control group of 65 cases and the observation group of 66 cases.The control group was given 50% magnesium sulfate wet solution treatment,while the observation group was treated by compound Danshen injection.The swelling time,onset time,the therapeutic effect and adverse reaction of two groups were compared. Result:The start swelling time,the complete detumescence time and the effective time of observation group were respectively(2.78±0.57)h,(9.12±1.13)h and(5.73±0.63)h,while those time in the control group were respectively(5.61±1.49)h,(16.32±1.43)h and(10.54±1.05)h,the observation group were shorter than those of the control group ,the differences were statistically significance(P<0.05).The total effective rate of the observation group and the control group were respectively 98.48%and 73.85%,the observation group was higher than that of control group,the difference was statistically significance(P<0.05).The observation group had no obvious adverse reaction, while the occurrence of adverse reactions in the control group was 12.31%,the observation group was significantly better than the control group ,the difference was statistically significance(P<0.05).Conclusion:Neonatal transfusion exosmosis with compound Danshen injection has fast acting,good effect and high safety,it is worth popularization.
