摘要
目的研究血液灌流与血液透析联合应用抢救急性重度中毒的效果。方法选取2016年3月至2017年6月入院的66例急性重度中毒患者,按照治疗方法分为对照组(33例)和研究组(33例)。对照组选用常规疗法,研究组在常规疗法的基础上选用血液灌流与血液透析联合治疗。比较两组昏迷至清醒时间、住院时间、治愈率、治疗前、后生活质量评分。结果研究组患者昏迷至清醒时间、住院时间显著短于对照组(P<0.05)。研究组的治愈率显著高于对照组(P<0.05)。治疗后,两组患者的躯体疼痛、生理职能、精神健康及社会功能评分均显著升高,且研究组高于对照组(P<0.05)。结论血液灌流与血液透析联合应用于急性重度中毒抢救中的效果显著,值得推广应用。
Objective To study the effect of hemoperfusion combined with hemodialysis on acute severe poisoning.Methods A total of 66 cases of patients with acute severe poisoning from March 2016 to June 2017 were select and dividedinto control group （33 cases） and study group （33 cases） according to the treatment method. The control group was treatedwith conventional therapy, and the study group was treated with hemoperfusion and hemodialysis on the basis ofconventional therapy. The coma to waking time, hospitalization time, cure rate and quality of life scores before and aftertreatment were compared between the two groups. Results The coma to waking time and hospitalization time of the studygroup were significantly shorter than those in the control group （P〈0.05）. The cure rate of the study group was significantlyhigher than that of the control group （P〈0.05）. After treatment, the scores of physical pain, physiological function, mentalhealth and social function in the two groups significantly increased, and those in the study group were higher than thecontrol group（P〈0.05）. Conclusion Hemoperfusion combined with hemodialysis in the rescue of acute severe poisoning hassignificant effect and is worth promoting.
作者
谢曼丽
杜永锋
杨晓燕
刘媛
蒋红利
XIE Man-li1, DU Yong-feng 1, YANG Xiao-yan 1, LIU Yuan 1, JIANG Hong-li2(1. Occupational Diseases Department, Xi＇an Central Hospital, Xi＇an 710003; 2. Blood Purification Department, the First AffiliatedHospital of Xi＇an Jiaotong University, Xi＇an 710061, China)
出处
《临床医学研究与实践》
2018年第28期25-26,共2页
Clinical Research and Practice
关键词
急性重度中毒
血液灌流
血液透析
acute severe poisoning
hemoperfusion
hemodialysis
作者简介
谢曼丽（1980-）,女,汉族,陕西长武人,主治医师,学士.研究方向：职业病、化学中毒及血液净化.;通讯作者：蒋红利,E-mail：570016744@qq.com.
