钠钾镁钙葡萄糖注射液(乐加)在急诊低血容量性休克液体复苏中的应用研究  

The Application of the Emergency Hypovolemic Shock Fluid Resuscitation by Sodium, Potassium, Magnesium Calcium Glucose Injection(Lejia)

作　　者：覃双全[1] 刘笋[1] 曾宪华[1] 曾景亭[1] 张春阳[1] 贺永明[1] 

机构地区：[1]常德市第一人民医院急诊科,湖南常德415000

出　　处：《中国医药指南》2014年第15期15-16,共2页Guide of China Medicine

摘　　要：目的研究急诊低血容量性休克液体复苏过程中给予钠钾镁钙葡萄糖注射液的方法和效果。方法选择2011年7月至2014年2月我院急诊低血容量性休克患者共52例为临床研究对象,将患者随机分为两组。对照组共26例,使用乳酸林格液常规液体复苏;实验组患者26例,给予钠钾镁钙葡萄糖注射液复苏,观察比较患者治疗前后的血钾、钠、钙、镁等值;测定复苏1 h后患者平均动脉压(MAP)和心率。结果实验组患者在复苏1 h后,患者的血钠、血钾、血钙、血镁相关指标均优于对照组患者,经统计学分析,P<0.05,差异有统计学意义;实验组患者在复苏1 h后,MAP更高,患者心率相对较低,与对照组比较,P<0.05,差异有统计学意义。结论对急诊低血容量性休克液体复苏的患者给予钠钾镁钙葡萄糖注射液救治临床效果更好,有助于维持机体内环境的稳定,值得临床推广。Objective To study the emergency hypovolemic shock fluid resuscitation, sodium, potassium, magnesium, calcium process to give glucose injection methods and results. Methods July 2011 - February 2014 in our hospital emergency department patients with hypovolemic shock were 52 cases of clinical study, patients were randomly divided into two groups. Control group of 26 patients using conventional fluid resuscitation Ringer＇s lactate; 26 cases of patients in the experimental group, given the sodium, potassium, magnesium, calcium and glucose injection recovery, patients were compared before and after potassium treatment, sodium, calcium, magnesium equivalent; determination 1 h after resuscitation of patients in mean arterial pressure （MAP） and heart rate.Result Patients Experimental group after resuscitation 1 h, the patient＇s serum sodium, potassium, calcium, magnesium blood-related indicators are better than the control group of patients, the statistical analysis, P〈0.05, significant difference; patients in the experimental group after recovery lh, MAP higher heart rate is relatively low, compared with the control group, P〈0.05, the difference was statistically significant. Conclusions Patients with hypovolemic shock emergency resuscitation sodium, potassium, magnesium, calcium given glucose injection treatment and better clinical results, helps to maintain a stable internal environment, worthy of promotion.

关 键 词：急诊 低血容量性休克 液体复苏 钠钾镁钙葡萄糖注射液 疗效 

分 类 号：R364.14[医药卫生—病理学]