参麦注射液治疗烧伤休克的临床观察

Clinical observation on Shenmai injection(参麦注射液) for the treatment of burn shock

目的 :观察应用参麦注射液治疗烧伤休克的临床疗效。方法 :将 34例烧伤休克患者随机分为治疗组 18例和对照组 16例。两组患者常规治疗相同 ,治疗组加用参麦注射液。观察两组患者治疗后血乳酸值、尿量、心率、意识复常时间以及肢厥、出汗、紫绀、指压复常时间 ,并比较疗效。结果 :治疗组有迅速升压和稳压的效应 ,随着血压的回升 ,主证很快消失 ,临床总有效率治疗组 (94 .4 4 % )明显优于对照组 (75 .0 0 % ) ;血乳酸、尿量、心率及主要症状、体征的复常时间治疗组明显短于对照组 (P均 <0 .0 1)。结论 :参麦注射液治疗烧伤休克能明显提高疗效 ,缩短病程 ,逆转烧伤休克的发展。

Objective: To observe the clinical curative effect of Shenmai injection(参麦注射液) for the treatment of burn shock. Methods: Thirty-four cases with shock were randomly divided into two groups: the treated group of 18 cases and the control group of 16 cases. All the cases were treated with the same routine therapy, and the treated group with Shenmai injection. The resuming time of blood lactic acid (BLA), urinary volume, heart rate and mentality, as well as the vanishing time of cold limbs, hyperhidrosis, cyanosis and finger pressing in two groups were compared. Results: Clinical research showed that the treatment in the treated group had remarkable effect on curing burn shock in uprising and stabilizing blood pressure and alleviating main symptom. The total clinical effect rate (94.44 %) in the treated group was significantly superior to that in the control group (75.00 %). The resuming time of BLA, urinary volume and heart rate and vanishing time of main symptoms and signs in the treated group were significantly shorter than those in the control group, and the difference was significant ( all P<0.01). Conclusion: Shenmai injection in curing burn shock is able to significantly improve the curative effects, shorten the time of recovery, meanwhile effectively reverse and restrain the development of burn shock.