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血液净化治疗对急性乌头碱中毒患者心律失常转复的影响

徐郁颖

中国现代医学杂志2018,Vol.28Issue(2):117-120,4.
中国现代医学杂志2018,Vol.28Issue(2):117-120,4.DOI:10.3969/j.issn.1005-8982.2018.02.026

血液净化治疗对急性乌头碱中毒患者心律失常转复的影响

Effect of blood purification treatment on cardioversion of arrhythmia in patients with acute aconitine poisoning

徐郁颖1

作者信息

  • 1. 浙江衢化医院 急诊科,浙江 衢州 324004
  • 折叠

摘要

Abstract

Objective To investigate the effect of blood purification treatment on cardioversion of arrhythmia in patients with acute aconitine poisoning. Methods Seventy-two patients with acute aconitine poisoning treated in our hospital from November 2009 to June 2017 were selected as the subjects. They were divided into control group and study group according to the random number table with 36 cases in each group. The control group was treated with conventional treatment, the observation group was treated with blood purification on the basis of conventional treatment. Arrhythmia cardioversion, relief of poisoning symptoms and adverse reactions of the two groups were observed. Results After treatment for 24 h, the total effective rate of the observation group was 91.67%, which was significantly higher than that (72.22%) of the control group (P < 0.05); the heart rate recovery time and arrhythmia disappearance time of the observation group were significantly shorter than those of the control group (P < 0.05);the remission time of limb numbness, vomiting, palpitation and the time of hypotension returning to normal in the observation group were significantly shorter than those in the control group (P < 0.05). In the course of treatment, the total incidence of adverse reactions in the observation group was 5.56%, which was lower than that (33.33%) in the control group (P < 0.05). Conclusions Using blood purification to treat acute aconitine poisoning patients with arrhythmia, the symptoms can be relieved more quickly, with fewer adverse reactions and better clinical efficacy.

关键词

急性乌头碱中毒/心律失常/血液净化治疗/疗效/不良反应

Key words

acute aconitine poisoning/arrhythmia/blood purification treatment/curative effect/adverse reaction

分类

医药卫生

引用本文复制引用

徐郁颖..血液净化治疗对急性乌头碱中毒患者心律失常转复的影响[J].中国现代医学杂志,2018,28(2):117-120,4.

中国现代医学杂志

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1005-8982

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