醒脑静注射液救治急性有机磷农药中毒昏迷疗效分析.docVIP

醒脑静注射液救治急性有机磷农药中毒昏迷疗效分析 　　【摘要】 目的：探讨醒脑静注射液救治急性有机磷农药中毒昏迷的疗效。方法：选择2012年1月-2014年10月本院收治的急性有机磷农药中毒昏迷患者46例作为研究对象，采用随机数字表法将其分为治疗组与对照组。对照组20例给予常规基本治疗，治疗组26例在对照组基础上采用醒脑静注射液治疗。观察比较两组的治疗效果。结果：治疗组抢救成功率、病死率、平均昏迷时间及并发症发生情况均优于对照组，两组比较差异均有统计学意义（P0.05）。结论：醒脑静注射液治疗急性有机磷农药中毒昏迷疗效确切。 　　【关键词】 醒脑静注射液； 有机磷农药； 中毒昏迷； 疗效分析 　　Curative Efficacy Analysis of Xingnaojing Injection in the Treatment of Poisoning Coma with Acute Organophosphorus Pesticide/PENG Wei.//Medical Innovation of China，2015，12（23）：134-137 　　【Abstract】 Objective：To investigate the curative efficacy of Xingnaojing Injection in the treatment of poisoning coma with acute organophosphorus pesticide.Method：46 patients of poisoning coma with acute organophosphorus pesticide in our hospital from January 2012 to October 2014 were selected and randomly divided into the treatment group and the control group.20 patients in the control group were given conventional treatment，26 patients in the treatment group were treated with Xingnaojing Injection on the basis of the control group.The treatment effect was observed and compared between the two groups.Result：The success rate of rescue，fatality rate，average duration of coma and the occurrence of complications of the treatment group were better than those of the control group，the differences were statistically significant（P0.05）.Conclusion：Xingnaojing Injection has an obvious curative efficacy in the treatment of poisoning coma with acute organophosphorus pesticide. 　　【Key words】 Xingnaojing Injection； Organophosphorus pesticide； Poisoning aoma； Curative efficacy analysis 　　First-author’s address：The Health Centre of Heshui Town Xinyi City，Xinyi 525300，China 　　doi：10.3969/j.issn.1674-4985.2015.23.047 　　急性有机磷农药中毒昏迷是内科常见的危重急症，全身各系统器官均可出现中毒性损害，病情险恶，病死率极高，也是临床治疗上的难题，如何做到及时、有效地逆转昏迷，对抢救成败起至关重要的作用，提高急性有机磷农药中毒昏迷的治疗效果，降低病死率是基层医务人员迫切的责任。本院在常规解毒、脱水等综合治疗的基础上，采用醒脑静注射液治疗急性有机磷农药中毒昏迷，取得了理想效果，现报告如下。 　　1 资料与方法 　　1.1 一般资料 选择2012年1月-2014年10月本院收治的急性有机磷农药中毒昏迷患者46例作为研究对象，其中男12例，女34例，年龄17～76岁，平均（44.3±11