实用药物与临床
實用藥物與臨床
실용약물여림상
Practical Pharmacy and Clinical Remedies
2015年
10期
1195-1198
,共4页
腹部手术并发症%苏顺注射液%爱全乐%吸入
腹部手術併髮癥%囌順註射液%愛全樂%吸入
복부수술병발증%소순주사액%애전악%흡입
Abdominal postoperative complications%Terbutaline sulfate%Ipratropium bromide%Inhalation
目的 探讨苏顺注射液联合爱全乐氧气雾化吸入对预防腹部术后肺部感染的临床疗效. 方法 2013年12月至2014年12月在我科行开腹手术的患者80例,随机分为2组,对照组42例,试验组38例. 对照组:庆大霉素4万U+0. 9%生理盐水4 mL;试验组:爱全乐8 mL+苏顺1 mg;疗程:两组均给药1周,2次/d. 治疗前后分别比较各组PaO2、PaCO2 及肺部感染的情况. 结果 治疗前,对照组与试验组患者的PaO2 [ ( 76. 3±6.98)、(76.70±6.6) mmHg]和PaCO2[(35.47±6.34)、(36.4±8.30) mmHg]比较差异均无统计学意义(P>0. 05);治疗后,对照组与试验组患者的 PaO2 [(78. 30±3. 23 )、(81. 30±4. 34) mmHg]和 PaCO2 [(39. 51±9. 32)、(32. 40±8. 31) mmHg]比较差异有统计学意义,试验组患者PaO2 高于对照组(P<0. 05),PaCO2 低于对照组(P<0. 05). 试验组咳嗽、咳痰、呼吸困难及术后肺部并发症发生率、有效率均高于对照组(P<0. 05). 结论 苏顺注射液联合爱全乐雾化吸入对于术后预防肺部并发症有效率高,治疗效果更为明显.
目的 探討囌順註射液聯閤愛全樂氧氣霧化吸入對預防腹部術後肺部感染的臨床療效. 方法 2013年12月至2014年12月在我科行開腹手術的患者80例,隨機分為2組,對照組42例,試驗組38例. 對照組:慶大黴素4萬U+0. 9%生理鹽水4 mL;試驗組:愛全樂8 mL+囌順1 mg;療程:兩組均給藥1週,2次/d. 治療前後分彆比較各組PaO2、PaCO2 及肺部感染的情況. 結果 治療前,對照組與試驗組患者的PaO2 [ ( 76. 3±6.98)、(76.70±6.6) mmHg]和PaCO2[(35.47±6.34)、(36.4±8.30) mmHg]比較差異均無統計學意義(P>0. 05);治療後,對照組與試驗組患者的 PaO2 [(78. 30±3. 23 )、(81. 30±4. 34) mmHg]和 PaCO2 [(39. 51±9. 32)、(32. 40±8. 31) mmHg]比較差異有統計學意義,試驗組患者PaO2 高于對照組(P<0. 05),PaCO2 低于對照組(P<0. 05). 試驗組咳嗽、咳痰、呼吸睏難及術後肺部併髮癥髮生率、有效率均高于對照組(P<0. 05). 結論 囌順註射液聯閤愛全樂霧化吸入對于術後預防肺部併髮癥有效率高,治療效果更為明顯.
목적 탐토소순주사액연합애전악양기무화흡입대예방복부술후폐부감염적림상료효. 방법 2013년12월지2014년12월재아과행개복수술적환자80례,수궤분위2조,대조조42례,시험조38례. 대조조:경대매소4만U+0. 9%생리염수4 mL;시험조:애전악8 mL+소순1 mg;료정:량조균급약1주,2차/d. 치료전후분별비교각조PaO2、PaCO2 급폐부감염적정황. 결과 치료전,대조조여시험조환자적PaO2 [ ( 76. 3±6.98)、(76.70±6.6) mmHg]화PaCO2[(35.47±6.34)、(36.4±8.30) mmHg]비교차이균무통계학의의(P>0. 05);치료후,대조조여시험조환자적 PaO2 [(78. 30±3. 23 )、(81. 30±4. 34) mmHg]화 PaCO2 [(39. 51±9. 32)、(32. 40±8. 31) mmHg]비교차이유통계학의의,시험조환자PaO2 고우대조조(P<0. 05),PaCO2 저우대조조(P<0. 05). 시험조해수、해담、호흡곤난급술후폐부병발증발생솔、유효솔균고우대조조(P<0. 05). 결론 소순주사액연합애전악무화흡입대우술후예방폐부병발증유효솔고,치료효과경위명현.
Objective To observe the effect of terbutaline sulfate injection combined with ipratropium bromide solution for inhalation on postoperative pulmonary infection. Methods Eighty cases in our hospital from December 2013 to December 2014 after abdominal surgical operation were randomly divided into treatment group and control group,42 cases in control group were given gentamicin 40 000 U+nomal saline 4 mL;38 cases in treatment group were given terbutaline sulfate 1 mL injection and ipratropium bromide solution 8 mL for inhalation. All the patients were trea-ted for 1 week,twice daily. Results There was no significant difference in PaO2:(76. 3±6. 98)mmHg vs. (76. 70±6. 6) mmHg and PaCO2:(35. 47±6. 34)mmHg vs. (36. 4±8. 30) mmHg between control group and treatment group before treatment. After treatment,there were significant differences in PaO2: (78. 30±3. 23) mmHg vs. (81. 30±4. 34) mmHg and PaCO2: (39. 51±9. 32) mmHg vs. (32. 40±8. 31) mmHg between control group and treatment group. In treatment group,the incidences of cough,spitting,shortness of breath,and postoperative pulmonary complica-tions were significantly lower than those of control group ( P<0. 05 ) . Conclusion Terbutaline sulfate injection and ipratropium bromide solution for inhalation is effective in preventing postoperative pulmonary complications.
