中外健康文摘
中外健康文摘
중외건강문적
WORLD HEALTH DIGEST
2013年
34期
46-47
,共2页
肖文业%孙成俊%高华(通讯作者)
肖文業%孫成俊%高華(通訊作者)
초문업%손성준%고화(통신작자)
烧伤%丹红注射液%老年人%CK-MB
燒傷%丹紅註射液%老年人%CK-MB
소상%단홍주사액%노년인%CK-MB
burns%Danhong injection%Old patient%CK-MB
目的：探讨丹红注射液在老年人深度烧伤治疗中对创面愈合的促进作用以及对心脏功能损害的预防保护作用.方法选择2011年5月至2012年11月我科入院的老年男性病人,烧伤面积10%≤TBSA≤30%,深度全部为深Ⅱ度,伤前无器质性心脏病患者,随机分为治疗组与对照组,治疗组在常规烧伤治疗的基础上,给予丹红注射液20ml,加入5%葡萄糖(血糖高者用生理盐水)250ml,静脉点滴,每天一次,连用10天；对照组只给予普通能量支持.治疗前后以及治疗期间72小时后检查心电图、血浆心肌型肌酸激酶同工酶(CK-MB),病人创面愈合时间以及心脏缺血的临床症状.结果伤后72h治疗组病人出现心脏不适症状、心电图心肌缺血表现以及心肌酶谱下降情况较对照组明显下降,愈合时间较对照组明显缩短( p＜0.05).结论丹红注射液治疗老年烧伤患者,可以有效保护心肌功能,降低心肌缺血的发生率、减轻心肌细胞损害、缩短创面愈合时间,值得在烧伤患者、特别是老年烧伤患者中推广应用.
目的：探討丹紅註射液在老年人深度燒傷治療中對創麵愈閤的促進作用以及對心髒功能損害的預防保護作用.方法選擇2011年5月至2012年11月我科入院的老年男性病人,燒傷麵積10%≤TBSA≤30%,深度全部為深Ⅱ度,傷前無器質性心髒病患者,隨機分為治療組與對照組,治療組在常規燒傷治療的基礎上,給予丹紅註射液20ml,加入5%葡萄糖(血糖高者用生理鹽水)250ml,靜脈點滴,每天一次,連用10天；對照組隻給予普通能量支持.治療前後以及治療期間72小時後檢查心電圖、血漿心肌型肌痠激酶同工酶(CK-MB),病人創麵愈閤時間以及心髒缺血的臨床癥狀.結果傷後72h治療組病人齣現心髒不適癥狀、心電圖心肌缺血錶現以及心肌酶譜下降情況較對照組明顯下降,愈閤時間較對照組明顯縮短( p＜0.05).結論丹紅註射液治療老年燒傷患者,可以有效保護心肌功能,降低心肌缺血的髮生率、減輕心肌細胞損害、縮短創麵愈閤時間,值得在燒傷患者、特彆是老年燒傷患者中推廣應用.
목적：탐토단홍주사액재노년인심도소상치료중대창면유합적촉진작용이급대심장공능손해적예방보호작용.방법선택2011년5월지2012년11월아과입원적노년남성병인,소상면적10%≤TBSA≤30%,심도전부위심Ⅱ도,상전무기질성심장병환자,수궤분위치료조여대조조,치료조재상규소상치료적기출상,급여단홍주사액20ml,가입5%포도당(혈당고자용생리염수)250ml,정맥점적,매천일차,련용10천；대조조지급여보통능량지지.치료전후이급치료기간72소시후검사심전도、혈장심기형기산격매동공매(CK-MB),병인창면유합시간이급심장결혈적림상증상.결과상후72h치료조병인출현심장불괄증상、심전도심기결혈표현이급심기매보하강정황교대조조명현하강,유합시간교대조조명현축단( p＜0.05).결론단홍주사액치료노년소상환자,가이유효보호심기공능,강저심기결혈적발생솔、감경심기세포손해、축단창면유합시간,치득재소상환자、특별시노년소상환자중추엄응용.
Objective To observe the effect of Danhong Injection for the old patients with deep-partial thickness burn. Methods Choose patients hospitalised in our department from May, 2011 to Nov, 2012, aged from 55-75 years old without any heart disease before injured, randomly divided into 2 groups, the treatment group and the control group. Both the 2 groups received routine burn treatment, at the same time, the patients in treatment group received intravenous infusion of 20ml Danhong injection mixed in 5% glucose 250ml(or saline) ,once a day, and continued for 10 days. During the days, observe and take notes of ECG before and after treatment, creatine kinase isozyme MB(CK-MB), wound healing time and any heart disease symptoms. Results In treatment group, the patients had no symptoms of myocardial ischemia, no ECG changes of myocardial ischemia, the CK-MB went down from 72h after injured, and the wound healing time was shorter than that of the control group, p<0.05. Conclusion Danhong injection treatment is of great effect for the old burned patients, which is helpful to protect heart function, safe and able to reduce the ratio of myocardial ischemia, lighten the damage of myocardial cell, and shorten the wound healing time.
