中药注射剂在休克急救中的应用

Traditional Chinese Medicine Injection in the Application of First-aid of Shock

目的:探讨中药注射剂在休克急救中应用的疗效。方法:系统分析2011年5月至2013年3月,46例我院收治的休克患者,采用随机数字表法随机分为治疗组23例,对照组23例。结果:治疗组患者显效率为78.26%,总有效率为90.69%;对照组患者显效率为60.86%,总有效率为88.37%。2组显效率差异具有统计学意义(P<0.05)。用药后2组患者收缩压均升高,治疗1 h后,治疗组收缩压高于对照组,2组比较差异有统计学意义(P<0.05),并且随着时间增长,2 h内差异性进一步增大。用药后2组患者心率均降低,用药30 min后,2组患者平均心率比较,治疗组心率低于对照组,差异有统计学意义(P<0.05),并且随着时间增长,2 h内差异性进一步增大。用药后2组患者尿量均升高,治疗2 h时2组患者尿量比较,治疗组尿量高于对照组,差异有统计学意义(P<0.05)。结论:通过中医辨证论治,对不同类型的休克患者给予回阳救逆、救阴固脱、醒神开窍的中药制剂,能够有效改善微循环障碍的病理状态,联合现代医学的急救措施,有机的结合,取长补短,能提高治愈率,较单一中医或西医的方法都更具优势,临床上应重视中医药注射剂在院前急救中所发挥的巨大作用。

Objective：To explore the curative effect of traditional Chinese medicine injection in the application of first-aid of shock. Methods：Forty six shock patients admitted in our hospital during May 2011 to March 2013 were randomly divided into treatment group （n =23）and control group （n =23）.Systematical analysis was made.Results：The significant efficiency rate in treatment groups was 78.26%,and its total effective rate was 90.69%;the control group had the significant efficiency rate of 60.86%,and its total effective rate was 88.37%.There was statistically significant difference between the two groups in terms of the effective rate （P 〈0.05）.After treatment,systolic blood pressure of patients in both groups increased,and one hour after treatment,systolic blood pressure of patients in treatment group was higher than that of the control group,and the difference was statistically significant （P 〈0.05）;as the time growing,2 hours after treatment,the difference was further increased.Heart rates of patients in both groups decreased 30 min after tak-ing the medication,and the average heart rate of the treatment group was lower than that of the control group,and the difference was sta-tistically significant （P 〈0.05）.The amount of urine was increased in both groups two hours after treatment,and the treatment group had more urine （P 〈0.05）.Conclusion：TCMsyndrome differentiation and prescriptions applied on patients with different types of shock can regain Yang and change inverse,deliver Yin solid,and arouse spirit,and it can also effectively improve the microcirculation in the pathological state.The organic combination of TCMand modern medical first aid measures can improve the cure rate and have more ad-vantages compared with a single therapy.Importance shall be attached to clinical application of traditional Chinese medicine injection in pre-hospital first aid.