首页|醒脑静注射液联合纳洛酮治疗重度一氧化碳中毒的临床效果观察

醒脑静注射液联合纳洛酮治疗重度一氧化碳中毒的临床效果观察

扫码查看
目的 探讨脑静注射液联合纳洛酮治疗重度一氧化碳中毒的临床效果.方法 选取温州医科大学附属定理临床学院暨温州市中心医院急诊科2014年6月~2016年12月收治并诊断为重度一氧化碳中毒患者70例,按随机数字表法分为观察组及对照组各35例.对照组患者给予纳洛酮治疗,观察组在对照组治疗基础上加用醒脑静注射液治疗.观察并记录2组患者苏醒时间、死亡率、迟发型脑病发生率、格拉斯哥昏迷评分(GCS)及血清IL-1β水平.结果 ①观察组患者治疗总有效率为97.14%,明显高于对照组77.14%,且差异有统计学意义(P<0.05);②观察组患者苏醒时间为(2.25±0.88)h,明显短于对照组(3.46±1.10)h,且差异有统计学意义(P<0.05);③观察组患者死亡率和随访迟发型脑病发生率分别为(1.43%、8.57%),均优于对照组(17.14%、25.71%),且差异有统计学意义(P<0.05);④观察组患者GCS评分为(12.77±1.89),明显优于对照组,且差异有统计学意义(P<0.05);⑤观察组患者IL-1β为(65.41±9.93)ng/L,明显低于对照组(89.86±10.74)ng/L,且差异有统计学意义(P<0.05).结论 醒脑静注射液联合纳洛酮治疗重度一氧化碳中毒的临床效果确切,能有效缩短患者苏醒时间,降低死亡率及并发症发生率.
The clinical effect of treatment of severe carbon monoxide poisoning with Naoxingjing injection combined with naloxone
Objective To investigate the clinical effect of treatment of severe carbon monoxide poisoning with Naoxingjing injection combined with naloxone.Methods Emergency department of affiliated theorem clinical college, hospital 70 patients diagnosed with severe carbon monoxide poisoning from emergency department in June 2014 to December 2016, were randomly divided into observation group and control group 35 cases.In the control group were treated with naloxone treatment, observation group were treated based on the use Naoxingjing injection treatment.The two groups were observed and recorded recovery time, mortality, the incidence of delayed encephalopathy, Glasgow Coma Score(GCS)and serum levels of IL-1β.Results The patients in the observation group total effective rate of 97.14% was significantly higher than 77.14%, and the difference was statistically significant(P<0.05);the recovery time was observed in patients(2.25 ± 0.88)h, significantly shorter than the control group(3.46 ± 1.10)h, and the difference was statistically significant(P<0.05);and follow-up observation group mortality rates were delayed encephalopathy(1.43%, 8.57%)than the control group(17.14%, 25.71%), and the difference was statistically significant(P<0.05);④ observation group were GCS score was (12.77±1.89), significantly better than the control group, and the difference was statistically significant(P<0.05);⑤ observed in patients IL-1β is(65.41±9.93)ng / L was significantly lower than the control group(89.86±10.74)ng / L, and the difference was statistically significant(P<0.05).Conclusion Naoxingjing injection combined with naloxone treatment of severe carbon monoxide poisoning exact clinical effect, can effectively reduce patient recovery time, reduce mortality and morbidity.

Naoxingjing injectionnaloxonecarbon monoxide poisoning

吴蓓蕾、潘景业、汪晓波、吴建华

展开 >

温州医科大学附属定理临床学院暨温州市中心医院 重症医学科,浙江 温州 325000

醒脑静注射液 纳洛酮 一氧化碳中毒

2017

中国生化药物杂志
南京生物化学制药研究所,全国生化制药情报中心站,中国生化制药工业协会,中国药品生物制品检定所

中国生化药物杂志

ISSN:1005-1678
年,卷(期):2017.(7)
  • 4
  • 13