摘要
目的:研讨重度乌头碱中毒患者实施急诊血液净化处理的疗效及其对预后的影响。方法:选择2018年3月至2020年5月长沙市中医医院急诊救治的56例重度乌头碱中毒患者作为研究对象,依据随机数表模式设组,对照组和观察组各28例。对照组接受常规急诊救治,观察组基于对照组救治条件实施血液净化治疗,比较两组患者的急诊救治疗效、心律失常转复时间、住院时间以及不良反应率等指标。结果:观察组患者的救治总有效率为96.43%,较对照组的75.00%明显更高,差异具有统计学意义(P<0.05)。观察组患者心律失常转复时间、住院时间均显著短于对照组,差异具有统计学意义(P<0.05)。观察组患者不良反应总发生率为3.57%,相比对照组的总发生率21.43%显著更低,差异具有统计学意义(P<0.05)。观察组无一例患者死亡,对照组死亡率为10.71%,两组间死亡率差异无统计学意义(P>0.05)。结论:对重度乌头碱中毒患者实施急诊血液净化处理,能够提升临床救治效果,改善患者预后。
Objective To study the effect of emergency blood purification treatment in patients with severe aconitine poisoning and its influence on prognosis.Methods From March 2018 to May 2020,56 patients with severe aconitine poisoning who were treated in the emergency department of Changsha Hospital of Traditional Chinese Medicine were selected as the research objects.According to the random number table model,there were 28 cases in the control group and 28 cases in the observation group.The control group received routine emergency treatment,and the observation group received blood purification treatment based on the treatment conditions of the control group.The two groups were compared with indicators such as emergency treatment efficacy,cardioversion time of arrhythmia,hospital stay and rate of adverse reactions.Results The total effective rate of treatment for patients in the observation group was 96.43%,which was significantly higher than 75.00%in the control group,the difference was statistically significant(P<0.05).The cardioversion time and hospitalization time of patients in the observation group were significantly shorter than those in the control group,with statistical significances(P<0.05).The total incidence of adverse reactions in observation group was 3.57%,which was significantly lower than 21.43%in control group(P<0.05).There was no death in the observation group and 10.71%mortality in the control group,and there was no significant difference in mortality between the two groups(P>0.05).Conclusion Emergency blood purification treatment for patients with severe aconitine poisoning can enhance the clinical treatment effect and and improve the prognosis of patients.
作者
高光杰
刘胜兰
GAO Guang-jie;LIU Sheng-lan(Changsha Hospital of Traditonal Chinese Medicine,Changsha Eighth Hospital,Hunan Changsha 410100)
出处
《深圳中西医结合杂志》
2021年第21期131-133,共3页
Shenzhen Journal of Integrated Traditional Chinese and Western Medicine
关键词
重度乌头碱中毒
急诊血液净化
预后
Severe aconitine poisoning
Emergency blood purification
Prognosis
