不同进食时间对急性百草枯中毒患者预后的影响

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1、授予单位代码10089学号或申请号13453HebeiMedicalUniversity硕士学位论文科学学位不同进食时间对急性百草枯中毒患者预后的影响作者姓名：孟舰导师：田英平教授马增香主任医师专业：急诊医学二级学院：河北医科大学第二医院2015年03月河北医科大学学位论文使用授权及知识产权归属承诺本学位论文在导师(或指导小组)的指导下,由本人独立完成。本学位论文研究所获得的研究成果,其知识产权归河北医科大学所有。河北医科大学有权对本学位论文进行交流、公开和使用。凡发表与学位论文主要内容相关的论文,第一署名为单位河北医科大学，试验材料、原始数据、申报的专

2、利等知识产权均归河北医科大学所有。否则,承担相应法律责任。研究生签名:^4么导师签章：二级学院领导盖章：年作J曰河北医科大学研究生学位论文独创性声明本论文是在导师指导下进行的研究工作及取得的研究成果，除了文中特别加以标注和致谢等内容外,文中不包含其他人已经发表或撰写的研究成果,指导教师对此进行了审定。本论文由本人独立撰写,文责自负。研究生签名：导师签章：qwf广年目录中文摘要·············································································1英文摘要········

3、·····································································3研究论文不同进食时间对急性百草枯中毒患者预后的影响前言·············································································6材料与方法····································································6结果·····························

4、················································8附图·············································································11附表·············································································15讨论···································································

5、··········18结论·············································································24参考文献·······································································24综述急性百草枯中毒临床治疗现状·········································27致谢··················································

6、·································37个人简历·············································································38中 文 摘 要不同进食时间对急性百草枯中毒患者预后的影响摘要目的：对沧州市人民医院自2009年1月至2013年9月收治的254例急性百草枯中毒患者进行回顾性分析，了解不同时间进食对患者的并发症及预后情况是否有影响，为该病患者的合理进食时间提供科学依据，提升救治成功率。方法：回顾性收集2009年1月至2013年9月就诊于沧州

7、市人民医院急诊科254例急性百草枯中毒患者的病例资料，按照病情轻重将纳入研究的患者分成3组，轻型53例，中-重型72例，爆发型129例，对每组患者按照不同的进食时间分成6个时间段，统计分析不同进食时间患者的并发症及预后情况，包括急性肺损伤/肺纤维化、急性肾损伤、急性肝损伤、存活情况。结果：对纳入研究的254例患者进行统计学分析，不同进食时间对各种并发症及预后的影响均无统计学意义(P>0.05)。但进一步分型后发现，轻型患者共53例，不同进食时间对存活率的影响，P<0.01，有统计学意义；其中在<12小时时间段进食的患者存活率最低(80.00%)，>44小

8、时时间段进食的存活率最高(100.00%)；进食时间对并发急性肺损伤/肺纤维化、