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目的:探讨持续胃肠减压引流治疗急性有机磷农药中毒(AOPP)的临床效果。方法:对照组51例应用传统治疗方法,治疗组53例在对照组基础上,加用持续胃肠减压引流。结果:治疗组住院时间短[(10.5±3.2)dVS(20.2±4.2)d],阿托品用量少[(201.4±46.7)mg VS(327.3±10.9)mg],治愈率高(93.2%VS 80.1%),反跳率低(1.3%VS 11.4%),两组差异具有统计学意义(P<0.05)。结论:持续胃肠减压引流可缩短病程,较快恢复全血胆碱酯酶活力,减少阿托品用量,提高治愈率。
Objective: To investigate the clinical effect of continuous gastrointestinal decompression and drainage on acute organophosphorus pesticide poisoning (AOPP). Methods: 51 cases in the control group were treated by traditional methods. 53 cases in the treatment group were treated with continuous gastrointestinal decompression and drainage on the basis of the control group. Results: The shorter duration of hospitalization was (10.5 ± 3.2) dVS (20.2 ± 4.2) d in the treatment group and less in the atropine group (201.4 ± 46.7 mg vs 327.3 ± 10.9 mg) %), Rebound rate was low (1.3% VS 11.4%), the difference between the two groups was statistically significant (P <0.05). Conclusion: Continuous gastrointestinal decompression and drainage can shorten the course of disease, faster recovery of whole blood cholinesterase activity, reduce the amount of atropine and improve the cure rate.