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目的探讨血液透析、血液灌流治疗急性百草枯中毒的临床效果。方法选取急性百草枯中毒患者92例,随机分为三组,其中A组41例,给予单纯血液透析+常规治疗;B组20例,给予单纯血液灌流+常规治疗;C组31例,给予血液透析联合血液灌流+常规治疗。结果采取血液透析联合血液灌流进行治疗的患者有效率明显高于单纯采用血液透析或血液灌流进行治疗的患者;经联合治疗而最终死亡的患者存活时间明显长于单纯采用血液透析或血液灌流进行治疗的患者,其间比较差异明显,差异有统计学意义(P﹤0.05)。结论对急性百草枯中毒患者及时采取血液透析联合血液灌注治疗可以有效提高治疗效果。
Objective To investigate the clinical effect of hemodialysis and hemoperfusion on acute paraquat poisoning. Methods A total of 92 patients with acute paraquat poisoning were randomly divided into three groups, 41 patients in group A received hemodialysis plus conventional therapy, 20 patients in group B received simple hemoperfusion and conventional therapy, 31 in group C received blood Dialysis combined with hemoperfusion + conventional treatment. Results The patients treated with hemodialysis plus hemoperfusion were significantly more effective than those treated with hemodialysis alone or hemoperfusion. The patients who died after combination therapy were significantly longer than those treated with hemodialysis alone or hemoperfusion Patients, during which the difference was significant, the difference was statistically significant (P <0.05). Conclusion Acute paraquat poisoning in patients with timely hemodialysis combined with blood perfusion therapy can effectively improve the therapeutic effect.