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1、导泻解毒方治疗急性有机磷农药中毒毒热蕴结型的临床研宄张丹泰安市屮医医院急诊科山东泰安271000【摘要】目的探讨屮药导泻解毒方在急性有机磷农药屮毒屮对加快胃肠道残留农药的排泄，促进心肌酶谱及肝功能恢复，降低反跳率及死亡率的作用。方法:选择门服急性有机磷农药屮毒住院患者111例，随机分为治疗组和对照组，两组患者均应用常规治疗，治疗组在此基础上加用屮药导泻解毒方H管内注入以导泻解毒，对照组在此棊础上加用甘露醇导泻。观察两组患者治疗前后的临床疗效。结果:两组患者在长托宁用药次数、首次排便时间、每口排便次数，ChE恢复时间，症状消失时间，住院时间，反跳率及治愈率比较，治疗组均明显优于
2、对照组(P<0.01)o结论：急性有机磷农药屮毒患者在常规治疗的基础上加用屮药导泻解毒方，可加速肠道残存农药的排泄，促进并发症的恢复，降低反跳率及死亡率，提高治愈率。【关键词】导泻解毒方;急性有机磷农药屮毒;毒热蕴结型【屮图分类号】R595.4【文献标识码】A【文章编号】2096-0867(2016)-2-363-02ResearchtoHeat-toxinAccumulationTypeofAcuteOorganophosphorusPesticidePoisoningwithChineseFormulaofCatharsis-detoxificationZhangD
3、anEmergentdepartmentofTai’anTraditionalMedicineHospital,(Shandongprovince,Tai’ancity,271000).[Abstract]Objective:!*。speeduptheexcretionofgastrointestinalpesticideresiduebyChineseformulaofcatharsis-detoxificationinacuteorganophosphoruspesticidepoisoning(AOPP)patients,promoterecov
4、eryofmyocardialenzymespectrumandliverfunction,reducethebouncerateandmortality.Methods:111hospitalizedpatientssufferedofacuteoralorganophosphoruspesticidepoisoningwererandomlydividedintotreatmentgroupandcontrolgroup,twogroupsofpatientswerebothappliedconventionaltherapy,treatmentgroupbasedont
5、heuseofChineseformulacatharsis-detoxificationthroughstomachtube,controlgroupbasedontheuseofmannitolforcatharsis.Toobservetheclinicaleffectoftwogroupsbeforeandaftertreatment.Results:Comparedtwogroupsofpatientswithtreatmenttimesinpenehyclidinehydrochloride,thefirstdefecationtime,thenumberofda
6、ilybowelmovements,recoverytimeofChE,disappearedtimeofsymptoms,hospitalizationtime,bouncerateandcurerate,treatmentgroupweresignificantlybetterthanthecontrolgroup(P<0.01).Conclusion:BasedonconventionaltherapytotheacuteorganophosphoruspesticidepoisoningpatientswithChineseformulacatharsis-de
7、toxification,canaccelerateexcretionofintestinalresidualpesticide,promoterecoveryofcomplications,reducebouncerateandmortalityrate,improvethecurerate.[Keywords]Chineseformulaofcatharsis-detoxification,acuteorganophosphoruspesticidepoisoning,heat-toxinaccum
