Liu Yu-chun, Ma Yan-lan, Wang Jian-rong, Su Rong
Nursing Department, General Hospital of PLA, Beijing 100853, China.
Zhongguo Wei Zhong Bing Ji Jiu Yi Xue. 2005 Jan;17(1):39-41.
To investigate the effects of different temperatures of fluid infusion on diamine oxidase(DAO), MB isoenzyme of creatine kinase (CK-MB), creatine kinase (CK) and lactate dehydrogenase (LDH) in rabbit with hemorrhagic shock so as to provide a clue to improve the nursing care in patients with hemorrhagic shock.
An animal model of controlled hemorrhagic shock in rabbits as previously reported was used in this randomized experiment. Twenty-three rabbits were randomized to a warm fluid infusion group (n=8), a ambient-temperature fluid infusion group (n=7), and a cold fluid infusion group (n=8). The rabbits were then resuscitated with Ringer's lactate solution three times of that of blood loss. DAO and values of myocardial enzyme were measured before shock, during shock and 1 hour, 2 hours and 4 hours after fluid infusion, respectively.
There was no significant difference in DAO and values of myocardial enzymes among groups, though there was a lower value in DAO and values of myocardial enzymes at 1 hour to 4 hours after warm fluid infusion.
Our data indicate that warm fluid infusion in rabbit model of controlled hemorrhagic shock has some beneficial effect on some biochemical values. In view of this result, temperature of fluid infusion in nursing care for patients with hemorrhagic shock should pay more attention to.
探讨不同温度的液体输注对失血性休克家兔二胺氧化酶(DAO)、肌酸激酶同工酶MB(CK-MB)、肌酸激酶(CK)及乳酸脱氢酶(LDH)的影响,为改善失血性休克患者的护理提供线索。
本随机实验采用先前报道的家兔控制性失血性休克动物模型。23只家兔随机分为温液体输注组(n = 8)、常温液体输注组(n = 7)和冷液体输注组(n = 8)。然后用失血量3倍的乳酸林格液对家兔进行复苏。分别在休克前、休克期间以及液体输注后1小时、2小时和4小时测量DAO和心肌酶值。
各组间DAO和心肌酶值无显著差异,尽管温液体输注后1小时至4小时的DAO和心肌酶值较低。
我们的数据表明,在控制性失血性休克家兔模型中温液体输注对某些生化指标有一定有益作用。鉴于此结果,失血性休克患者护理中液体输注的温度应予以更多关注。