CAJ | 학술논문

目的：研究医生预估中毒药物的准确性对患者住院时间的影响。方法：收集2008年1月至2011年11月收入我校附属医院的393例急性中毒患者的血液标本，通过GC/MS定性检测，确定药物中毒种类，查阅病历中医生预估中毒药物种类，对比实验室检测结果与医生预估药物种类的区别，分析其对住院时间的影响。结果：393例病例中，男性与女性的比值为1：3，患者的平均年龄为34.4岁，平均住院时间（LOS）3.6日。临床医生预估种类与实验室分析结果完全一致的比例为10%，完全不一致的比例为24%，两组住院时间没有统计学差异,医生预估完全准确组的痊愈率为84.6%。结论：本研究显示医生预估的患者中毒药物种类与实验室检测结果存在显著差异，开展中毒药物检测是必须的。
목적：연구의생예고중독약물적준학성대환자주원시간적영향。방법：수집2008년1월지2011년11월수입아교부속의원적393례급성중독환자적혈액표본，통과GC/MS정성검측，학정약물중독충류，사열병력중의생예고중독약물충류，대비실험실검측결과여의생예고약물충류적구별，분석기대주원시간적영향。결과：393례병례중，남성여녀성적비치위1：3，환자적평균년령위34.4세，평균주원시간（LOS）3.6일。림상의생예고충류여실험실분석결과완전일치적비례위10%，완전불일치적비례위24%，량조주원시간몰유통계학차이,의생예고완전준학조적전유솔위84.6%。결론：본연구현시의생예고적환자중독약물충류여실험실검측결과존재현저차이，개전중독약물검측시필수적。
Objective: To evaluate the impact of accuracy of doctors’estimating poisoning drug on patients hospitalized time. Methods: 393 cases of acute drug poisoning cases in the university affiliated hospital between January 2008 and December 2011 was collected, We identified the toxic agents by using gas chromatography-mass spectrometry (GC-MS), and found the discrepancy be-tween assessment of toxic agents and drug analysis results, evaluated the impact for hospitalized time. Results: Of all the cases, male/female was 1:3, the mean age of patients was 34.4 and mean length of stay (LOS) was 3.6 days. The clinical assessment results and lab-oratory analytic results showed total coincidence was 10% and total incompatibility was 24%, there were no significant statistical dif-ferences between the total coincidence group and total incompatibility group for the length of hospital stay, the total coincidence group’ s recovery rate was 84.6%. Conclusion: This study suggested that the discrepancy between assessment of toxic agents and drug analy-sis was tremendous, it is necessary to carry out the poisoning drug detection.