如意金黄散加蜂蜜联合利多卡因治疗高压注射对比剂渗漏的疗效观察

The Effects of Ruyijinhuang powder,honey combined with lidocaine on treatment of leakage of contrast agents caused by high pressure syringe

目的研究如意金黄散、蜂蜜联合利多卡因用于治疗高压注射器所致对比剂渗漏的临床效果。方法选取我院影像科接受CT增强扫描中由于高压注射器而出现对比剂渗漏的患者150例作为研究对象,将上述患者分别分为如意金黄散,蜂蜜联合利多卡因的联合用药组(给予如意金黄散,蜂蜜联合利多卡因治疗);如意金黄散联合利多卡因组(仅给予如意金黄散和利多卡因治疗);蜂蜜联合利多卡因组(仅给予蜂蜜和利多卡因治疗);利多卡因组(仅给予利多卡因治疗);同时选用临床使用较多的地塞米松作为对照组,每组30例患者。对各组的治疗效果进行评价,以显效率作为指标来评价各组患者治疗效果。治疗周期为4天。结果治疗4天后,联合用药组显效率(96%)明显高于如意金黄散联合利多卡因组(83%)、蜂蜜联合利多卡因组(76%)、利多卡因组(73%)及地塞米松组(83%)患者,如意金黄散联合利多卡因组、蜂蜜联合利多卡因组、利多卡因组及地塞米松组相关显效率与联合用药组相比较,差异均具有统计学意义(P<0.05)。结论如意金黄散、蜂蜜联合利多卡因对于高压注射器所致的对比剂渗漏具有较好的临床疗效,可提高患者显效率,值得开展深入探讨与研究。

Objective To study the clinical therapeutic effect of Ruyijinhuang powder, honey and lidocaine for treatment of leakage of contrast agent caused by high pressure syringe. Methods 150 patients with leakage of contrast agents caused by high pressure syringe were divided into Group A, Group B, Group C, Group D and control group. Group A was treated with Ruyijinhuang powder, honey and lidoeaine. Group B was treated with Ruyijinhuang powder and lidocaine. Group C was treated with honey and lidocaine. Group D was treated with Lidoeaine. The control group was treated with dexamethasone. The therapeutic effect were observed. Results 4 days after treatment, the excellence rate of group A （93%） was obviously higher than that of Group B（56%）, Group C （40%）, Group D （83%） and contol group （83%） （P〈0.05）. Conclusion Ruyijinhuang powder, honey in combination with lidocaine for high pressure syringe caused by leakage of contrast agent has better clinical curative effect.