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目的 :观察复方乳酸钠山梨醇注射液对外科手术患者的血电解质及血糖的影响。方法 :随机选 30例手术患者 ,其中 15例血糖正常为第 1组 ,15例血糖高于正常为第 2组。两组患者于术后d1均输入复方乳酸钠山梨醇 10 0 0ml,d2输入 5 %葡萄糖盐水 10 0 0ml(第 1组 )或 5 %葡萄糖盐水 10 0 0ml加正规胰岛素 10～ 12u(1∶4～ 1∶5 )(第 2组 ) ,在输液前后抽血查血电解质及血糖和胰岛素的值。结果 :第 1组患者输入两种液体后血糖均升高 ,两者升高程度比较无明显差异 (P >0 .0 5 ) ;血电解质较输液前无明显变化。第 2组患者输入两种液体后血糖和胰岛素升高程度比较有明显差异 (P <0 .0 1)。结论 :复方乳酸钠山梨醇是细胞外液良好替代剂 ,可作为手术患者特别是葡萄糖利用障碍 (糖尿病 )患者的供能物质 ,其效果较传统的葡萄糖加胰岛素更好。
Objective: To observe the effects of compound sodium lactate sorbitol on blood electrolytes and blood glucose in surgical patients. Methods: Thirty patients were randomly selected. Among them, 15 cases of normal blood glucose group 1, 15 cases of blood glucose higher than normal group 2. Two groups of patients were d1 after the infusion of compound sodium lactate 10 0 0ml, d2 input 5% glucose saline 10 0ml (group 1) or 5% glucose saline 10 0ml plus regular insulin 10 ~ 12u (1: 4 ~ 1: 5) (Group 2), blood was drawn before and after infusion to check blood electrolytes and blood sugar and insulin values. Results: In the first group, blood glucose was increased after the two liquids were infused. There was no significant difference between the two groups (P> 0.05). Blood electrolytes did not change significantly before infusion. Group 2 patients after the importation of two kinds of liquid blood glucose and insulin levels were significantly different (P <0.01). CONCLUSIONS: Compound sodium lactate sorbitol is a good substitute for extracellular fluid and can be used as energy supply material for patients with surgery, especially for patients with impaired glucose (diabetes). The effect is better than traditional glucose plus insulin.