首页|美他多辛治疗对急性酒精中毒患者苏醒时间症状消失时间和氧化应激反应的影响

美他多辛治疗对急性酒精中毒患者苏醒时间症状消失时间和氧化应激反应的影响

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目的:探究美他多辛治疗对急性酒精中毒患者的影响。方法:选取 2020 年 1 月至 2022年12 月我院急诊收治的104 例急性酒精中毒患者为研究对象,采用随机数字表法分为常规组(n=52)和美他多辛组(n=52)。对照组给予常规治疗,观察组常规治疗基础上给予美他多辛治疗。记录两组患者临床指标(苏醒时间、症状消失时间),比较治疗前和治疗后,两组患者血气指标[血氧饱和度(SaO2)、氧分压(PO2)]及呼气酒精浓度(BrAC)水平,比较治疗前和治疗后,两组患者氧化应激[超氧化物歧化酶(SOD)]状态,治疗前和治疗后,两者患者肝肾功能[丙氨酸氨基转移酶(ALT)、天冬氨酸转氨酶(AST)、血肌酐(Scr)、尿素氮(BUN)]、凝血功能[凝血酶原时间(PT)、凝血酶时间(TT)、活化部分凝血酶时间(APTT)、纤维蛋白原(FIB)]。结果:美他多辛组苏醒时间、症状消失时间均短于常规组(P 均<0。05);治疗后,两组患者SaO2、PO2、SOD、FIB水平均较治疗前升高,美他多辛变化水平高于常规组(P均<0。05);BrAC、肝肾功能指标(ALT、AST、Scr、BUN)、部分凝血功能指标(PT、TT、APTT)水平较治疗前降低,美他多辛变化水平高于常规组(P 均<0。05)。结论:美他多辛能够缩短急性酒精中毒患者苏醒时间及症状消失时间,改善患者血气状态,缓解患者氧化应激反应,改善患者肝肾功能及凝血功能。
Effect of Metadoxine Treatment on Time to Awakening Time to Symptom Disappearance and Oxidative Stress in Patients with Acute Alcohol Intoxication
Objective:To explore the effects of Metadoxine treatment in patients with acute alcoholism.Methods:A total of 104 patients with acute alcoholism admitted to the emergency department of our hospital from January 2020 to December 2022 were selected as the study subjects,and were randomly divided into the conventional group(n=52)and the Metadoxine group(n=52)by using the method of randomized numerical table.The control group was given conventional treatment,and the observation group was given Metadoxine on the basis of conventional treatment.Clinical indexes(awakening time,symptom disappearance time)were re-corded in the two groups,blood gas indexes[blood oxygen saturation(SaO2),partial pressure of oxygen(PO2)]and breath alcohol concentration(BrAC)levels were compared between the two groups before and after treatment,oxidative stress[superoxide dismutase(SOD)]status was compared between the two groups before and after treatment,and liver and kidney function[alanine aminotransferase(ALT),aspartate amin-otransferase(AST),blood creatinine(Scr),urea nitrogen(BUN)],and coagulation function[prothrombin time(PT),prothrombin time(TT),activated partial thromboplastin time(APTT),fibrinogen(FIB)].Re-sults:The awakening time and symptom disappearance time of the Metadoxine group were shorter than that of the conventional group(P all<0.05);after treatment,the levels of SaO2,PO2,SOD and FIB of the two groups increased compared with those before treatment,and the level of change of Metadoxine was higher than that of the conventional group(P all<0.05);the levels of BrAC,liver and renal function indexes(ALT,AST,Scr,BUN),and some of the indicators of coagulation function(PT,TT,APTT)levels were lower than before treatment,and the level of change of Metadoxine was higher than that of the conventional group(all P<0.05).Conclusion:Metadoxine can shorten the awakening time and symptom disappearance time of patients with acute alcohol intoxication,improve the blood gas status of patients,alleviate the oxidative stress reaction of patients,and improve the liver and kidney function and coagulation function of patients.

Acute alcohol intoxicationMetadoxineWake-up timeSymptom disappearance timeOxidative stress

王小银、左爽、徐礼友、李海山

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安徽省合肥市第二人民医院急诊科,安徽 合肥 230000

急性酒精中毒 美他多辛 苏醒时间 症状消失时间 氧化应激反应

安徽省中医药传承创新科研项目(2022)

2022CCYB28

2024

河北医学
河北省医学会

河北医学

CSTPCD
影响因子:1.915
ISSN:1006-6233
年,卷(期):2024.30(1)
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