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血液灌流结合血液透析治疗敌草快中毒患者的效果

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目的:探讨敌草快中毒患者采用血液灌流结合血液透析治疗的效果。方法:选择 2019 年 1 月—2022 年 12 月徐州医科大学附属医院泗洪分院收治的 60 例敌草快中毒患者作为研究对象,采用随机数表法分为两组,各 30 例。对照组采用血液透析治疗,观察组采用血液灌流结合血液透析治疗。比较两组总有效率、炎症因子指标、血气指标。结果:观察组总有效率高于对照组,差异有统计学意义(P<0。05)。治疗前,两组炎症因子指标比较,差异无统计学意义(P>0。05);治疗后,两组白细胞介素-6(IL-6)、肿瘤坏死因子-α(TNF-α)、白细胞介素-8(IL-8)水平低于治疗前,且观察组低于对照组,差异有统计学意义(P<0。05)。治疗前,两组血气指标比较,差异无统计学意义(P>0。05);治疗后,两组pH值、动脉血氧分压(PaO2)高于治疗前,动脉血二氧化碳分压(PaCO2)低于治疗前,观察组pH值、PaO2 高于对照组,PaCO2 低于对照组,差异有统计学意义(P<0。05)。结论:在对敌草快中毒患者进行治疗时,采用血液灌流结合血液透析可显著减轻炎症反应,改善血气,效果显著。
Effect of Hemoperfusion Combined with Hemodialysis in Patients with Diquat Dibromide Poisoning
Objective:To investigate the effect of hemoperfusion combined with hemodialysis on patients with diquat dibromide poisoning.Method:A total of 60 patients with diquat dibromide poisoning admitted to Sihong Branch of Affiliated Hospital of Xuzhou Medical University from January 2019 to December 2022 were selected as the study objects,and they were divided into two groups by random number table method,with 30 patients in each group.The control group was treated with hemodialysis,observation group was treated with hemoperfusion combined with hemodialysis.The total effective rate,inflammatory factor index and blood gas index were compared between the two groups.Result:The total effective rate of the observation group was higher than that of the control group,and the difference was statistically significant(P<0.05).Before treatment,there were no significant differences in inflammatory factors between the two groups(P>0.05).After treatment,the levels of interleukin-6(IL-6),tumor necrosis factor-α(TNF-α)and interleukin-8(IL-8)in two groups were lower than those before treatment,and those in the observation group were lower than those in the control group,the differences were statistically significant(P<0.05).Before treatment,there were no significant differences in blood gas indexes between the two groups(P>0.05).After treatment,the pH value and arterial partial oxygen pressure(PaO2)of the two groups were higher than those before treatment,and the arterial partial pressure of carbon dioxide(PaCO2)of the two groups were lower than those before treatment,and pH value and PaO2 of the observation group were higher than those of the control group,and the PaCO2 was lower than that of the control group,the differences were statistically significant(P<0.05).Conclusion:Hemoperfusion combined with hemodialysis can significantly reduce the inflammatory response and improve blood gas in the treatment of patients with diquat dibromide poisoning,the effect is significant.

Diquat dibromide poisoningHemoperfusionHemodialysisInflammatory factorsBlood gas indexTotal effective rate

沈新秀、盛玲凤、石岩岩

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徐州医科大学附属医院泗洪分院 江苏 泗洪 223900

敌草快中毒 血流灌流 血液透析 炎症因子 血气指标 总有效率

2024

中外医学研究
中国医院管理杂志社

中外医学研究

影响因子:1.149
ISSN:1674-6805
年,卷(期):2024.22(9)
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