中国老年学杂志
中國老年學雜誌
중국노년학잡지
CHINESE JOURNAL OF GERONTOLOGY
2015年
12期
3380-3382
,共3页
血液灌流%有机磷中毒%中间期肌无力综合征
血液灌流%有機燐中毒%中間期肌無力綜閤徵
혈액관류%유궤린중독%중간기기무력종합정
Hemoperfusion%Organic phosphorus poisoning%Intermediate myasthenia syndrome
目的:探讨血液灌流联合血浆置换对老年有机磷中毒伴中间期肌无力综合征的临床疗效。方法选取该院2011年10月至2013年12月诊治的老年有机磷中毒伴中间期肌无力综合征患者46例,采用随机数字表法分为两组,其中23例患者实施血液灌流治疗为对照组,23例患者实施血液灌流联合血浆置换治疗为观察组,比较两组患者生化指标、心肌酶指标、疗效及并发症情况。结果治疗后两组患者的 B 型钠尿肽( BNP)、C反应蛋白( CRP)、肿瘤坏死因子( TNF)α、肌酸激酶( CK)、肌酸激酶同工酶( CK-MB)、天门冬氨酸氨基转移酶( ALT)、乳酸脱氢酶( LDH)均显著降低,而胆碱酯酶(ChE)均显著升高。观察组患者BNP、CRP、TNF-α、CK、CK-MB、ALT、LDH、反跳发生率、死亡率、并发症发生率均明显低于对照组者ChE、治疗有效率均明显高于对照组,观察组患者昏迷时间、ChE 恢复时间、住院时间、阿托品用量、氯解磷定用量均明显少于对照组( P<0.05)。结论血液灌流联合血浆置换是治疗老年有机磷中毒伴中间期肌无力综合征的有效方法,可明显改善患者的临床指标,显著缩短患者的治疗时间,临床疗效显著且安全性高,值得临床推广。
目的:探討血液灌流聯閤血漿置換對老年有機燐中毒伴中間期肌無力綜閤徵的臨床療效。方法選取該院2011年10月至2013年12月診治的老年有機燐中毒伴中間期肌無力綜閤徵患者46例,採用隨機數字錶法分為兩組,其中23例患者實施血液灌流治療為對照組,23例患者實施血液灌流聯閤血漿置換治療為觀察組,比較兩組患者生化指標、心肌酶指標、療效及併髮癥情況。結果治療後兩組患者的 B 型鈉尿肽( BNP)、C反應蛋白( CRP)、腫瘤壞死因子( TNF)α、肌痠激酶( CK)、肌痠激酶同工酶( CK-MB)、天門鼕氨痠氨基轉移酶( ALT)、乳痠脫氫酶( LDH)均顯著降低,而膽堿酯酶(ChE)均顯著升高。觀察組患者BNP、CRP、TNF-α、CK、CK-MB、ALT、LDH、反跳髮生率、死亡率、併髮癥髮生率均明顯低于對照組者ChE、治療有效率均明顯高于對照組,觀察組患者昏迷時間、ChE 恢複時間、住院時間、阿託品用量、氯解燐定用量均明顯少于對照組( P<0.05)。結論血液灌流聯閤血漿置換是治療老年有機燐中毒伴中間期肌無力綜閤徵的有效方法,可明顯改善患者的臨床指標,顯著縮短患者的治療時間,臨床療效顯著且安全性高,值得臨床推廣。
목적:탐토혈액관류연합혈장치환대노년유궤린중독반중간기기무력종합정적림상료효。방법선취해원2011년10월지2013년12월진치적노년유궤린중독반중간기기무력종합정환자46례,채용수궤수자표법분위량조,기중23례환자실시혈액관류치료위대조조,23례환자실시혈액관류연합혈장치환치료위관찰조,비교량조환자생화지표、심기매지표、료효급병발증정황。결과치료후량조환자적 B 형납뇨태( BNP)、C반응단백( CRP)、종류배사인자( TNF)α、기산격매( CK)、기산격매동공매( CK-MB)、천문동안산안기전이매( ALT)、유산탈경매( LDH)균현저강저,이담감지매(ChE)균현저승고。관찰조환자BNP、CRP、TNF-α、CK、CK-MB、ALT、LDH、반도발생솔、사망솔、병발증발생솔균명현저우대조조자ChE、치료유효솔균명현고우대조조,관찰조환자혼미시간、ChE 회복시간、주원시간、아탁품용량、록해린정용량균명현소우대조조( P<0.05)。결론혈액관류연합혈장치환시치료노년유궤린중독반중간기기무력종합정적유효방법,가명현개선환자적림상지표,현저축단환자적치료시간,림상료효현저차안전성고,치득림상추엄。
Objective To investigate the clinical effect of hemoperfusion combined with plasma exchange in treatment of elderly pa-tientswithorganicphosphoruspoisoningandintermediatemyastheniasyndrome.Methods 46elderlypatientswithorganicphosphoruspoi-soning and intermediate myasthenia syndrome were selected and randomly divided into two groups.The changes of biochemical indexes, the levels of myocardial enzymes and complications were compared between two groups.Results After treatment, the levels of BNP, CRP, TNF-α, CK, CK-MB, AST, LDH were decreased significantly while h-CHE was increased significantly in two groups.The mortality rate and the incidence of complication in observation group were significantly lower than those of control group.The level of h-CHE in observation group was significantly higher than that of control group.The cholinesterase recovery time, hospitalization time, dosages of atropine and pra-lidoxime chloride in observation group were significantly less than those of control group (P<0.05).Conclusions Hemoperfusion and plas-ma exchange are effective methods in treatment of elderly patients with organic phosphorus poisoning and intermediate myasthenia syndrome, which could significantly improve clinical indexes and shorten treatment time.