【摘要】 目的观察抗休克合剂治疗烧伤休克的临床效果。方法 30例重度烧伤休克患者随机分为对照组和治疗组两组各15例。对照组予常规抗休克治疗,治疗组在对照组治疗基础上鼻饲抗休克合剂。观察并记录两组患者复苏前,复苏后24 h、48 h、72 h的血乳酸值、碱剩余,心率、尿量及补液量等体征和临床症状情况。结果治疗组第1个24 h、第2个24 h补液量均低于对照组(均P<0.05);第1个24 h及第2个24 h每小时尿量与对照组相当(P>0.05),但第3个24 h每小时尿量多于对照组(P<0.05)。治疗组在复苏后第1个24 h、第2个24 h及第3个24 h心率改善明显优于对照组(均P<0.05)。两组入院时血乳酸及碱剩余均相近(P>0.05);入院1 d、2 d及3 d治疗组血乳酸值均较对照组明显降低(均P<0.05);而入院1 d、2 d及3 d治疗组碱剩余显著高于对照组(均P<0.01)。结论严重烧伤患者常规液体复苏同时加用抗休克合剂,有利于患者安全渡过休克期,降低死亡率。更多还原

【Abstract】 Objective: To observe the clinical effect of anti-shock mixture in the treatment of burn shock.Methods: 30 patients of severe burn shock were randomly divided into a treatment group and control group,with15 patients in each group. All the patients were treated by the same conventional anti-shock treatment,and the treatment group was additionally given nasogastric Kangxiuke mixture. Observe and record patients before recovery,24,48,72 h after recovery of blood lactic acid,base excess,heart rate,urinary volume and amount of rehydration and the change of clinical symptoms of two groups were observe and recorded. Results: The experimental group blood lactic acid were significantly lower than the control group(P < 0.05);Base excess was significantly higher than control group(P < 0.01);The experimental group per hour urine significantly were more than the control group(P < 0.05);Heart rate improved significantly better than control group(P < 0.05). On the first 24 h in experimental group rehydration and two 24 h rehydration amount was lower than that of the control group(P <0.05). Conclusion: Severe burn patients conventionalfluid resuscitation of shock with anti-shock mixture at the same time,is conducive to patient safety through the shock stage and reduce the death rate.更多还原