摘要
目的探究分析大剂量维生素C洗胃对误服高锰酸钾中毒患儿的抢救效果及临床价值。方法抽取2020年7月—2022年7月于江苏省苏州市昆山市第一人民医院儿科接受诊断治疗的86例误服高锰酸钾中毒的患儿作为研究对象,按照随机数表法分为两组,每组43例。其中,对照组采取常规治疗结合温水洗胃,观察组在常规治疗的基础上结合大剂量维生素C洗胃。比较两组患儿临床疗效以及中毒症状消失时间、住院时间、并发症发生情况。结果观察组总有效率为95.35%,高于对照组的79.07%,差异有统计学意义(χ^(2)=5.108,P<0.05)。与对照组相比,观察组恶心呕吐、胃部烧灼感、吞咽困难等中毒症状消失时间和住院时间均更短,差异有统计学意义(P<0.05)。观察组并发症率为4.65%,低于对照组的18.60%,差异有统计学意义(χ^(2)=4.074,P<0.05)。结论大剂量维生素C洗胃对误服高锰酸钾中毒患儿的抢救效果显著,可以快速缓解中毒症状,保护胃黏膜,且能够降低患儿并发症发生风险,预后较好。
Objective To explore and analyze the rescue effect and clinical value of large dose vitamin C lavage on children with potassium permanganate poisoning by mistake.Methods 86 children with potassium permanganate poisoning who were diagnosed and treated in the Pediatric Department of the First People's Hospital of Kunshan City,Suzhou City,Jiangsu Province from July 2020 to July 2022 were selected as the study subjects.They were divided into two groups using a random number table method,with 43 cases in each group.Among them,the control group received routine treatment combined with warm water gastric lavage,while the observation group received high-dose vitamin C gastric lavage on the basis of routine treatment.Compared the clinical efficacy,disappearance time of toxic symptoms,hospitalization time,and incidence of complications between two groups of children.Results The total effective rate of the observation group was 95.35%,which was higher than 79.07%of the control group,the difference was statistically significant(χ^(2)=5.108,P<0.05).Compared with the control group,the observation group had shorter disappearance time and hospitalization time for toxic symptoms such as nusea,vomiting,burning sensation in the stomach,and difficulty swallowing,the difference was statistically significant(P<0.05).The complication rate in the observation group was 4.65%,lower than the control group's 18.60%,the difference was statistically significant(χ^(2)=4.074,P<0.05).Conclusion Gastric lavage with large dose of vitamin C has remarkable rescue effect on children with potas-sium permanganate poisoning by mistake,which can quickly relieve poisoning symptoms,protect gastric mucosa,reduce the risk of complications,and has a good prognosis.
作者
高琼
徐凌霞
徐文青
GAO Qiong;XU Lingxia;XU Wenqing(Department of Emergency,Kunshan First People's Hospital,Kunshan,Jiangsu Province,215300 China;Jiangsu Nursing Vocational College,Huai'an,Jiangsu Province,223005 China;Department of Pediatrics,Kunshan First People's Hospital,Kunshan,Jiangsu Province,215300 China)
出处
《系统医学》
2023年第7期66-69,共4页
Systems Medicine
基金
淮安市社科研究课题(2022WSC13)。
关键词
高锰酸钾中毒
患儿
大剂量维生素C洗胃
抢救
临床价值
Potassium permanganate poisoning
Child patient
High dose vitamin C gastric lavage
Rescue
Clinical value
