首页|快速阿托品化+血液灌流联合碘解磷定复能治疗有机磷中毒的临床效果研究

快速阿托品化+血液灌流联合碘解磷定复能治疗有机磷中毒的临床效果研究

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目的 探究有机磷中毒患者采用快速阿托品化+血液灌流联合碘解磷定复能治疗的临床效果.方法 非随机选取2019年7月—2022年7月南京市六合区人民医院收治的78例有机磷中毒的患者为研究对象,根据治疗方式不同分为对照组和研究组,各39例.对照组实施快速阿托品化联合碘解磷定治疗,研究组实施快速阿托品化+血液灌流联合碘解磷定复能治疗.对比两组患者的治疗指标、治疗效果、并发症.结果 研究组的治疗指标均优于对照组,差异有统计学意义(P均<0.05).研究组的治疗总有效率为97.44%(38/39),高于对照组的79.49%(31/39),差异有统计学意义(χ2=6.155,P=0.013).研究组并发症发生率低于对照组,差异有统计学意义(P<0.05).结论 有机磷中毒患者施行快速阿托品化+血液灌流联合碘解磷定复能治疗能够改善患者的临床指标,提高疗效,降低患者并发症.
Study on the Clinical Effect of Rapid Atropinisation+Haemoperfusion Combined with Iodophosphidine Repletion in the Treatment of Organo-phosphorus Poisoning
Objective To explore the clinical effect of rapid atropinization+hemoperfusion combined with iodinated pralidoxime in the treatment of patients with organophosphorus poisoning.Methods A total of seventy-eight patients with organophosphorus poisoning admitted to Nanjing Luhe District People's Hospital from July 2019 to July 2022 were non-randomly selected as the study subjects.They were divided into control group and study group according to different treatment methods,thirty-nine cases in each group.The control group was treated with rapid atropinization combined with pralidoxime iodide,and the study group was treated with rapid atropinization+hemoperfusion com-bined with pralidoxime iodide.The treatment indicators,treatment effects and complications of the two groups were compared.Results The treatment indexes of the study group were better than those of the control group,and the differ-ences were statistically significant(all P<0.05).The total effective rate of treatment in the study group was 97.44%(38/39),which was higher than 79.49%(31/39)in the control group,and the difference was statistically significant(χ2=6.155,P=0.013).The incidence of complications in the study group was lower than that in the control group,the difference was statistically significant(P<0.05).Conclusion Rapid atropinization+hemoperfusion combined with pralidoxime iodide in patients with organophosphorus poisoning can improve the clinical indicators of patients,im-prove the efficacy and reduce the complications of patients.

Rapid atropinisationHaemoperfusionIodinated diphosphidine reenergisationOrganophosphorus poisoning

史克平、杨文、周学红

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南京市六合区人民医院重症医学科,江苏 南京 211500

快速阿托品化 血液灌流 碘解磷定复能 有机磷中毒

2024

系统医学

系统医学

ISSN:
年,卷(期):2024.9(22)