生脉注射液治疗休克的临床观察  

Clinical observation of shengmai injection in treatment of shock

作　　者：邓彪[1] 黄小康[1] 李强[1] 

机构地区：[1]广东省博罗县人民医院,516100

出　　处：《中国医师进修杂志》2006年第1期26-27,29,共3页Chinese Journal of Postgraduates of Medicine

摘　　要：目的 观察生脉注射液治疗休克的临床疗效。方法 71例确诊为休克的住院患者被随机分为两组，一组为中西医结合组（36例），另一组为常规对照组（35例），常规对照组采用西医常规治疗措施进行抗休克治疗，中西医结合组在常规治疗的基础上加用生脉注射液，每次30ml，以5％葡萄糖250ml稀释后静脉点滴，每日2次，连用3-5d。结果 （1）中西医结合组呼吸、心率、血压、尿量恢复至正常所需时间均明显短于常规对照组（P〈0．01）。（2）中西医结合组治疗后1～4h血氧饱和度明显高于常规对照组（P〈0．01）。（3）中西医结合组病死率（8．33％）和平均住院天数（6．6±3．3）d均显著低于常规对照组[17．14％、（9．7±3．9）d]，P〈0．01。结论 生脉注射液结合西医常规措施治疗各类休克疗效确切，可缩短病程，减少住院时间，降低病死率，在临床上有应用价值。Objective To observe the clinical curative effects of shengmai injection on shock. Methods Seventy- one patients with shock were randomly divided into two groups. The control group （35 cases） was treated with general treatment of western medicine. On the basis of above treatment, the integrated traditional Chinese and western medicine treatment group （TCM WM group,36 cases） was treated with shengmai injection 30 ml diluted by 5% glucose 250 ml intravenous drip 2 times a day for 3 - 5 days. Results In TCM WM group, the vanishing times of breath rate , heart rate ,blood pressure and urinary volume were significantly shorter （all P〈0.01）, the SaO2 after treatment was higher obviously （P〈0.01）,the mortality was lower（8.33% vs 17.14% ,P〈0.01） ,the average days in hospital was shorter[（6.6±3.3） days vs （9.7±3.9） days, P〈0.01],compared to the control group. Conclusion Shengmai injection combined with general treatment of western medicine in treating shock is effective. It can shorten the times of recovery, decrease days in hospital, lower mortality. Continuing application is worthy.

关 键 词：生脉注射液 休克 中西医结合 

分 类 号：R278[医药卫生—中医学]