【摘要】 目的:通过1,6-二磷酸果糖(FDP)3种注射泵法比较,找出改善患儿心肌损害同时减轻注射疼痛的方法。方法:观察A、B、C组各60例心肌损害患儿(≤3岁),注射泵注射FDP,用量150mg·kg-1·d-1,分别于15min、20min、25min注射完各20例,注射前后用生理盐水6ml冲管,A组为FDP原液;B组为FDP与生理盐水1∶1比例稀释;C组为FDP与注射用水按1∶1比例稀释。研究3组FDP液不同时间注射对肌酸激酶同工酶(CK-MB)值及注射相关疼痛的影响。结果:B组注射20min时CK-MB下降最明显,差值为(74.5±69.62)U/L;而FLACC评分分值最低(1.75±1.02)分。结论:FDP生理盐水稀释组输注20min时CK-MB下降明显,且FLACC评分低。更多还原

【Abstract】 Objective:Through the comparision of 3kinds of injection pumps of the 1,6-fructose diphosphate(FDP),to find out the way to improve the myocardial damage and reduce the pain of injection in children.Methods:60children(≤3years)with myocardial damage in each group were injected FDP by injection pump.Children in Group A,Group B and Group C were respectively injected with the dosage of FDP150mg·kg-1·d-1,before and after injection the pipes were flushed with 6ml physiological saline.The respective 20cases in each group were injected at 15mins,20mins and 25mins respectively.Group A were injected with FDP stock solution;Group B with 1∶1dilution of FDP and physiological saline,and Group C with 1∶1dilution of FDP and water.The effect of different FDP injection at different time on the value of CK-MB and related pain of the patients in three groups were studied.Results:The value of CK-MB decreased the most obviously(74.5±69.62)U/L in Group B when injected at 20mins,and the FLACC score(1.75±1.02)was the lowest.Conclusion:For the group of FDP diluted with physiological saline infused at the time of 20mins,the value of CKMB decreased obviously and FLACC score lower.更多还原