批量烧伤伤员早期休克补液公式的选择  

Selection of the Early Shock Rehydration Formula for Mass Burn Casualties

作　　者：张育淑[1,2] 米增法[1,2] 殷婷婷[1,2] 陈翠娟[1,2] 施如月[1,2] 孔悦[1,2] 

机构地区：[1]解放军第174医院 [2]厦门大学附属成功医院烧伤整形科,福建厦门361003

出　　处：《解放军护理杂志》2013年第14期9-11,共3页Nursing Journal of Chinese People's Liberation Army

基　　金：南京军区医学科技创新课题项目(10MA069)

摘　　要：目的探讨批量烧伤伤员早期快速补液的最佳方法。方法将实际补液量与运用南京烧伤补液和第三军医大学烧伤补液公式进行比较,探索适于批量伤员快速补液的最佳方法。结果南京烧伤补液公式与第三军医大学烧伤补液公式采集指标时间及计算时间比较,差异均有统计学意义(t1=-61.123,P<0.01;t2=4.293,P<0.01)。8h实际补液量与南京烧伤补液公式理论补液量、第三军医大学烧伤补液公式理论补液量之间的差异无统计学意义(P>0.05)。经t检验,对不同性别,采用南京烧伤补液、第三军医大学烧伤补液公式计算的1%烧伤面积补液量的差异无统计学差异(P>0.05)。结论南京烧伤补液公式是适用基层单位早期救治成批烧伤休克补液优先选择方案,同时应注意个性化治疗方案。Objective To explore the best rapid rehydration method for mass burn casualties in the early shock stage. Methods To compare the actual volume of rehydration with the volume calculated by Nan- jing formula and Third Military Medical University formula. Results The Nanjing formula, as compared to Third Military Medical University formula, the acquisition time and computation time were statistically significant different （t1 = - 61. 123, P〈0.01 ; t2 = 4. 293, P〈0.01）. No significant difference was found between the volume calculated by Nanjing formula or Third Military Medical University formula and the actual amount of fluid infusion within 8 hours （P〉0.05）. No significant difference was found for patients with 1 % burn area of rehydration fluids for different sex according to the two formula （P2〉0. 05）. Conclu- sion Nanjing burn resuscitation formula is preferred for grass-roots unit of early shock fluid infusion with mass burn casualties .

关 键 词：批量烧伤 休克补液 护理 

分 类 号：R644[医药卫生—外科学]