摘要
目的观察高渗氯化钠羟乙基淀粉40注射液治疗失血性休克的临床效果,探讨护理措施。方法 53例失血性休克患者随机分为观察组28例和对照组25例,2组入院后立即给予生命体征监护,容量治疗,对照组加用复方氯化钠注射液治疗,观察组加用高渗氯化钠羟乙基淀粉40注射液治疗,监测2组用药前及用药30min后中心静脉压(CVP)、收缩压(SBP)、舒张压(DBP)、心率(HR)、血氧饱和度(SpO2),血浆Na+、Cl-、K+浓度。结果 2组用药30min后CVP、DBP、SpO2升高,与治疗前比较差异均有统计学意义(P<0.05和P<0.01),且观察组改善情况优于对照组,差异均有统计学意义(P<0.05)。2组治疗后Na+、Cl-升高,K+降低,但与治疗前比较差异均无统计学意义(P>0.05),且组间比较差异无统计学意义(P>0.05)。结论高渗氯化钠羟乙基淀粉40注射液对于失血性休克的治疗有一定的应用价值。护士应配合医师观察病情,发现问题,及时处理,才能最大限度地提高抢救成功率。
Objective To observe clinical effect and discuss nursing methods of hypertonic hydroxyethyl starch 40 sodium chloride injection in the treatment of hemorrhagic shock.Methods 53 cases of hemorrhagic shock were randomly divided into observation group of 28 cases and the control group of 25 cases,the two groups were both given vital signs monitoring immediately after hospitalization and capacity treatment.The control group was treated with the compound sodium chloride injection,while the observation group was treated with hypertonic sodium chloride hydroxyethyl starch 40 injection,observed the two groups of central venous pressure （CVP）,systolic blood pressure （SBP）,diastolic blood pressure （DBP）,heart rate （HR）,oxygen saturation （ SpO2）,plasma Na＋,Cl-,K＋ concentration before treatment and after treatment for 30min.Results Compared with those before treatment,the two groups of CVP,DBP,SpO2 increased after treatment for 30min,the differences were statistically significant（P0.05 and P0.01）,and the improvements of observation group were better than the control group,the differences were statistically significant（P0.05）.Na＋,Cl-increased,K＋ decreased of the two groups after treatment,but compared with before treatment showed no significant difference（P0.05）,and between the two groups showed no significant difference（P0.05）.Conclusion Hypertonic hydroxyethyl starch 40 sodium chloride injection for the treatment of hemorrhagic shock has clinical value.Nurses should observe the condition with the doctors found the problem in time,to maximize the success rate.
出处
《临床合理用药杂志》
2010年第11期24-25,共2页
Chinese Journal of Clinical Rational Drug Use
关键词
高渗氯化钠羟乙基淀粉40注射液
失血性休克
临床观察
护理
Hypertonic hydroxyethyl starch 40 sodium chloride injection
Hemorrhagic shock
Clinical observation
Nursing
