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路路通注射液改善烧伤微循环的临床研究
  • ISSN号:1008-9691
  • 期刊名称:《中国中西医结合急救杂志》
  • 时间:0
  • 分类:R264[医药卫生—中医外科学;医药卫生—中医学] R242[医药卫生—中医临床基础;医药卫生—中医学]
  • 作者机构:[1]广东省汕头大学医学院第二附属医院,广东汕头515041
  • 相关基金:广东省汕头市重点科技计划项目(2003-119-12)
中文摘要:

目的:观察路路通注射液改善烧伤微循环障碍的作用。方法:88例符合轻度烧伤诊断标准的患者被随机分为两组。治疗组伤后1d开始静脉使用路路通注射液500mg,加入到质量分数为5%的葡萄糖溶液中,每日1次,14d为1个疗程;对照组静脉仅使用5%的葡葡糖溶液;两组患者因轻度烧伤无休克均未进行补液疗法,均以克林霉素0.6g抗感染。观察烧伤3、7和14d治疗组与对照组血管襻形态、襻周状态、血液流变学指标变化及凝血功能状态改变,同时观察药物的不良反应。结果:与对照组比较,治疗组微血管动脉扩张明显,血流加快,末梢循环的流态积分值明显降低,襻周状态明显改变,总积分值下降较快,红细胞聚集指数及白细胞黏着数无明显改变,凝血功能变化不明显。2例患者出现头晕。结论:路路通注射液能改善烧伤患者的微循环,无明显的不良反应。

英文摘要:

Objective: To observe the effects of Lulutong injection on microcrculation disturbance after burns. Methods: Eighty-eight patients with mild burn were randomly divided into two groups. From the first day after burn, the treatment group received 500mg Lulutong injection intravenously injected in 5% glucose, once a day for 14 days as a therapeutic course. The control group was treated with 5% glucose. No large amount of solution was infused because the burned patients were mild and no shock was found. Both groups were received anti-infection treatment using 0.6 g of clindamycin. The morphology of nail-fold microcirculation, the state around the nail fold microcirculation, hemorrheological parameters, changes in coagulation function 3, 7 and 14 days after burn and the side effects of drugs were observed. Resuits: Compared to the control group, in the treatment group, the arterioles dilated more markedly, the blood flow of micro-vessels became faster, the flowing score of nail-fold microcirculation decreased obviously, the state around the nail-fold microcirculation changed significantly, the total score declined faster, but no obvious changes were found in erythrocyte aggregation index, the number of leukocyte adhesion and coagulation function. There were 2 cases with dizziness. Conclusion: Lulutong injection may improve the microcirculation in patients with burn, and has little side effect.

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期刊信息
  • 《中国中西医结合急救杂志》
  • 中国科技核心期刊
  • 主管单位:中国科学技术协会
  • 主办单位:中国中西医结合学会
  • 主编:
  • 地址:天津市和平区睦南道122号
  • 邮编:300050
  • 邮箱:cccm@em120.com
  • 电话:022-23306917 23042150
  • 国际标准刊号:ISSN:1008-9691
  • 国内统一刊号:ISSN:12-1312/R
  • 邮发代号:6-93
  • 获奖情况:
  • 国内外数据库收录:
  • 美国化学文摘(网络版),中国中国科技核心期刊,中国北大核心期刊(2008版),中国北大核心期刊(2011版),中国北大核心期刊(2014版)
  • 被引量:17541