CAJ | 학술논문

目的通过观察农药中毒患者的反跳情况及血清胆碱酯酶连续监测,对适当改造后的空肠营养管与鼻胃管组患者进行比较研究.方法将65例口服农药中毒患者随机分为空肠管组、鼻胃管组和对照组,比较3组患者反跳发生例数以及血液胆碱酯酶活性百分比变化、达到正常值低限活力60%以上需要天数等差异.结果空肠管组反跳发生5例,胆碱酯酶活力恢复至60%以上需要(10.04±1.21)d;鼻胃管组反跳发生10例,胆碱酯酶活力恢复至60%以上需要(11.17 ± 1.58)d;对照组反跳发生10例,胆碱酯酶活力恢复至60%以上需要(11.35±2.05) d;3组均在6 d内发生反跳,由此连续对胆碱酯酶活力动态监测并对6 d内的结果进行统计分析,3组从第1天开始差异即有统计学意义.结论经过适当改造后空肠管与鼻胃管组相比能有效降低农药中毒患者反跳发生率,促进胆碱酯酶活力的恢复.
목적통과관찰농약중독환자적반도정황급혈청담감지매련속감측,대괄당개조후적공장영양관여비위관조환자진행비교연구.방법장65례구복농약중독환자수궤분위공장관조、비위관조화대조조,비교3조환자반도발생례수이급혈액담감지매활성백분비변화、체도정상치저한활력60%이상수요천수등차이.결과공장관조반도발생5례,담감지매활력회복지60%이상수요(10.04±1.21)d;비위관조반도발생10례,담감지매활력회복지60%이상수요(11.17 ± 1.58)d;대조조반도발생10례,담감지매활력회복지60%이상수요(11.35±2.05) d;3조균재6 d내발생반도,유차련속대담감지매활력동태감측병대6 d내적결과진행통계분석,3조종제1천개시차이즉유통계학의의.결론경과괄당개조후공장관여비위관조상비능유효강저농약중독환자반도발생솔,촉진담감지매활력적회복.
Objective To observe Anti jump condition of dimethoate poisoning and the serum cholinesterase continuous monitoring ,and to compare improving jejunum tube with nasal tube .Methods 65 cases with dimethoate poison were immediately divided into the jejunum tubes group ,nasal tube group and control group ,compare three groups of patients bounce happen number ,blood cholinesterase activity percentage change ,days of achieving above low energy 60% normal limit were compared .Results Bounce happened in 5 patients in the jejunum tubes group ,and cholinesterase energy recovering above 60% needed (10 .04 ± 1 .21)d .Bounce happened in 9 cases in nasal tube group ,cholinesterase energy recovering above 60% needed (11 .17 ± 1 .58)d .Bounce happened in 10 cases The con‐trol group ,cholinesterase energy recovering above 60% needed ( 11 .35 ± 2 .05)d .Bounce happened happened during six days in three groups ,cholinesterase energy dynamic test were done in 6 days .It was statistically analyzed begin in first day in three groups .Conclusion The jejunum tube after appropriate transformation can effectively reduce the in‐cidence of dimethoate poisoning rebounded for promoting cholinesterase energy recovery .