扶他林治疗心脏电除颤所致电灼伤的疗效观察

Effect of voltaren on electrical burn induced by heart defibrillation

目的观察扶他林对心脏电除颤所致电灼伤的治疗效果及安全性。方法 2011年1月至2014年12月在我院就诊的因电除颤引起的皮肤电灼伤患者66例,按照不同的治疗方法随机分为硫酸镁湿敷组、扶他林治疗组,每组33例。硫酸镁组采用50%硫酸镁湿敷,3次/d,连续5~7 d;扶他林组在局部皮肤发红处涂抹薄层扶他林,3次/d,连续5~7 d。比较两组的治疗效果及安全性。结果硫酸镁湿敷组显效13例（39.4%）,有效15例（45.6%）,无效5例（15.0%）;扶他林治疗组显效25例（75.8%）,有效8例（24.2%）,无效0例。扶他林治疗组疗效优于硫酸镁湿敷组,两组比较差异具有统计学意义（P〈0.05）。两组均无药物不良反应发生。结论扶他林治疗心脏电除颤所致电灼伤的效果好于硫酸镁湿敷,且无明显的药物不良反应,是治疗心脏电除颤所致电灼伤的一种非常有效且安全的药物。

Objective To observe the effect and safety of voltaren on electrical burn induced by heart defibrillation. Methods 66 cases of electrical burn by heart defibrillation from January 2011 to December 2014 were selected. According to the different treatment methods,they were randomly divided into 2 groups： magnesium sulfate group（ n = 33）,voltaren group（ n = 33）. Magnesium sulfate group was treated with 50% magnesium sulfate（ 3 times daily）for 5 ~ 7 d. Voltalin group was treated with voltalin（ 3 times daily） for 5 ~ 7 d. The efficacy and safety between the two groups were analyzed. Results The effective rate in voltaren group was higher than that of magnesium sulfate group,there was significant difference（ 100% vs. 84. 85%,P〈0. 05）. No adverse reacction was found in both groups. Con-clusion Voltaren is a safe and effective drug for treatment of electric burn caused by cardiac defibrillation.