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中西医结合治疗急性有机磷中毒8例临床观察 被引量:6

Clinical Observation of Acute Organophosphorus Poisoning Treated with Integrated Chinese and Western Medicine
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摘要 目的观察中医中药在急性有机磷中毒抢救治疗中的有效辅助作用。方法将16例急性有机磷中毒患者采用随机分组法分为治疗组和对照组,每组8例。两组患者均予以一般的抢救复苏与解毒等治疗措施,对治疗过程中出现的不良反应予对症处理。对照组应用安痛定退热,硫酸镁导泻治疗。治疗组应用羚羊角注射液、清开灵注射液退热,大黄汤导泻。结果治疗组痊愈5例(66.7%),好转2例(20.8%),总有效率为87.5%。对照组痊愈4例(43.3%),好转2例(21.7%),总有效率为75%。两组总有效率比较,差异有统计学意义(P<0.05),提示治疗组疗效优于对照组。结论中医药辅助治疗急性有机磷中毒有助于提高治愈率,值得临床推广应用。 Objective To observe the effective assistant action of Chinese medicine in the rescue treatment of acute organophosphorus poisoning. Methods Sixteen patients were randomized into a treatment group and a control group,8 cases in each one. All the patients in two groups received the routine rescue re- suscitation and detoxification measures and the symptomatic management for the adverse reactions during the treatment. In the control group, antodin was used for pyretolysis and magnesium sulfate was for catharsis. In the treatment group, lingyangjiao injection and qingkailing injection were adopted for pyretolyisis and dahuang decoction was for catharsis. Results In the treatment group,5 cases (66.7%)were cured,2 cases (20.8%) were improved and the total effective rate was 87.5%. In the control group,4 cases (43.3%)were cured, 2 cases (21.7%)were improved and the total effective rate was 75%. The difference in the total effective rate was significant in comparison between two groups( P 〈0.05 ). It was suggested that the efficacy in the treat- ment group was superior to the control group. Conclusion Traditional Chinese medicine assists with the im- provement of the curative rate in the treatment of acute organophosphorus poisoning. Hence, this therapy de- serves to be promoted in clinic.
作者 董永洁
出处 《世界中西医结合杂志》 2013年第3期270-271,310,共3页 World Journal of Integrated Traditional and Western Medicine
关键词 中西医结合 清开灵注射液 羚羊角注射液 大黄汤 急性有机磷中毒 Integrated Chinese and Western Medicine Qingkailing Injection Lingyangjiao Injec- tion Dahuang Decoction Acute Organophosphorus Poisoning
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