抗休克煎剂在烧伤休克治疗中的应用-国际中医中药杂志.PDF

·794 · 国际中医中药杂志2012年9月第34卷第9期 Int J Trad Chin Med, September 2012, Vol. 34, No.9 ·临床研究 · 抗休克煎剂在烧伤休克治疗中的应用 蔡良良 谢龙炜 虞俊杰 吕国忠 陆金根 丁羚涛 【摘要】 目的 观察抗休克煎剂治疗烧伤休克的临床效果。方法 将 2008 年 3 月至 2010 年 10 月 江苏省无锡市中西医结合医院收治的 40 例重度烧伤休克患者以随机数据表法分为两组各 20 例，对照组 患者采用常规抗休克治疗，治疗组在对照组治疗基础上鼻饲抗休克煎剂，1 剂/d ，150 ml/剂。观察并记录 两组患者复苏前、复苏后 24 、48 、72 h 的血乳酸值，心率、尿量及烦躁、口渴、汗出、肢厥等体征和临 床症状的变化情况。结果 入院 72 h 时，治疗组血乳酸值、心率、尿量改善均优于对照组（t 值分别为 10.485、3.219、7.429，P 均＜0.01 ），烦躁、口渴、汗出、肢厥休克症状的消失优于对照组（χ2 值分别为 10.16、7.37、5.63、4.29 ，P 均＜0.05 ）。结论 抗休克煎剂配合治疗重度烧伤休克，可使患者平稳度过休 克期，减少后期并发症。 【关键词】 烧伤；休克；抗休克煎剂；疗效 * Application of Kangxiuke apozem in the treatment of severe burn shock CAI Liang-liang , XIE Long-wei, YU Jun-jie, LÜ Guo-zhong, LU Jin-gen, DING Ling-tao. *Department of Burn and Plastic Surgery, Wuxi Hospital of integrated traditional and Western Medicine, Wuxi 214041, China Corresponding author：LÜ Guo-zhong, Email ：luguozhong@ 【Abstract 】 Objective To observe the clinical effect of Kangxiuke apozem in the treatment of severe burn shock. Methods 40 patients of severe burn shock were randomly divided into a treatment group and a control group, with 20 patients in each group. All the patients were treated by the same route of counter-shock therapy, and the treatment group was additionally given Kangxiuke apozem (nasal feeding, qd, 150 ml/d). Level of blood lactic acid, heart rate and urinary volume were evaluated by time. Main shock symptoms, including restlessness, hydrodipsia, perspiration and coldness, were observed. Results The treatment group was significantly superior to the control group in the amelioration of blood lactic acid, heart rate and urinary volume （t ＝10.485、3.219、7.429，P ＜0.01 ）. The