首页|纳洛酮对急诊酒精中毒体征及氧合指数的影响

纳洛酮对急诊酒精中毒体征及氧合指数的影响

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目的 观察纳洛酮不同用药方案在酒精中毒患者急诊治疗中的效果及对体征、氧合指数的影响。方法 选取112 例急性酒精中毒患者,随机分为两组,每组 56 例。A组经静脉注射 0。8 mg纳洛酮,连续给药12 次,每次间隔15 min;B组每小时经静脉泵入3。2 mg纳洛酮和 250 mL浓度为 0。9%的氯化钠注射液,连续给药3h。比较两组治疗效果及安全性。结果 B组用药 1、2、3 h后的β-EP水平以及治疗后还原型谷胱甘肽(GSH)、丙二醛(MDA)、皮质醇(COR)的水平均低于A组,差异具有统计学意义(P<0。05)。治疗期间,B组意识恢复、自主站立恢复、语言表达恢复、血压达标的时间均短于A组(P<0。05);治疗后,B组的药物相关不良反应发生率低于A组(P<0。05)。结论 经静脉持续泵入纳洛酮能迅速改善β-EP水平并减轻氧化应激损伤,有利于加快患者恢复进程、促进临床特征及氧合指数恢复,并降低药物相关不良反应发生风险。
Effects of naloxone on the signs and oxygenation index in the patients with emergency alcoholism
Objective To observe the effects of different medication regimens of naloxone on emergency treatment of alcoholism patients and its impact on physical signs and oxygenation index.Methods 112 patients with acute alcoholism were selected and randomly divided into two groups,with 56 cases in each group.Group A were received intravenous injection of 0.8 mg naloxone,administered 12 consecutive times with a 15 min interval between each administration.Group B were infused with 3.2 mg of naloxone and 250 mL of 0.9%sodium chloride solution intravenously every hour,and administered continuously for 3 h.The treatment efficacy and safety were compared between two groups.Results The levels of β-EP,reduced glutathione(GSH),malondialdehyde(MDA),and cortisol(COR)after treatment in Group B after 1,2 and 3 h of medication were lower than those in Group A,showing a statistically significant difference(P<0.05).During the treatment period,the recovery time of consciousness,autonomous standing,language expression,and blood pressure in Group B were lower than those in Group A(P<0.05).After treatment,the incidence of drug-related adverse reactions in Group B was lower than that in Group A(P<0.05).Conclusion Continuous intravenous infusion of naloxone can rapidly improve the condition β-EP levels and reduce oxidative stress damage,which are beneficial for accelerating patient recovery,promoting clinical features and oxygenation index recovery,and reducing the risk of drug-related adverse reactions.

alcohol poisoningnaloxoneoxygenation indexdrug safety

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南阳医学高等专科学校附属中医院急诊科,南阳 473000

酒精中毒 纳洛酮 氧合指数 用药安全性

河南省医学科技攻关项目

LHGJ20210217

2024

华夏医学
桂林医学院

华夏医学

影响因子:0.569
ISSN:1008-2409
年,卷(期):2024.37(3)
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