阿托品微量泵持续静脉推注救治有机磷农药中毒疗效观察(附100例对比报告)

Organic Phosphorous Pesticide Poisoning Treated with Atropine Micro Pump Sustainable Intravenous Injection(with A Comparative Report of 100 Cases)

[目的]观察阿托品微量泵持续静脉推注法救治有机磷农药中毒患者的疗效。[方法]选择我科2006年2月至2013年2月间使用阿托品治疗的100例有机磷农药中毒患者,按不同的给药方式分为治疗组(微量泵持续静脉推注)30例和对照组(间隔静脉推注法)70例;阿托品给药量根据中毒轻重程度药量需适当增减。[结果]治疗后达到阿托品化的时间,治疗组为(6.78±1.89)h,对照组为(9.09±2.79)h;治疗组中毒率为6.67%,治愈时间为(14.08±3.59)h,对照组中毒率为27.14%,治愈时间为(16.49±4.58)h;两组患者达到阿托品化的时间、临床治愈和阿托品中毒情况比较,差异均有统计学意义(P<0.05)。[结论]对有机磷农药中毒患者用微量泵持续静脉推注阿托品施治,能促进疗效同时可降低阿托品中毒病例的发生率。

[Objective] To observe the cure effect of atropine micro pump sustainable intravenous injection on organic phosphorous pesticide poisoning. [Method] Select 100 such cases taking atropine, divide them into treatment group（micro pump sustainable intravenous injection, 30 cases） and control group（interval intravenous injection, 70 cases）; the atropine administration was revised according to poisoning degrees. [Result] The treatment time of atropinzadon for treatment group was （6.78＋l.89）h,and （9.09＋2.79）h for control one;the poisoning rate in treatment group was 6.67%, the cure time （14.08＋3.59）h; they were respectively 27.14%, and （16.49＋4.58）h for control one;their differences were of statistical meaning and marked statistical mean- ing respectively by comparison. [Conclusion] The treatment above can increase the cure effect and effectively reduce poisoning rate.