Analysis of the application effect of blood perfusion+hemodialysis in emergency patients with severe organophosphorus pesticide poisoning
血液灌流+血液透析在急诊重症有机磷农药中毒患者中的应用效果分析

摘要

目的 分析对急诊重症有机磷农药中毒患者，采用血液灌流+血液透析治疗的价值。方法 选取38例2023年2月~2024年2月间于我院急诊重症有机磷农药中毒患者作为研究对象，将“随机数字表”作为分组的参考依据，分为参照组（n=19例），执行常规方法抢救。探究组（n=19例），执行血液灌流+血液透析治疗，对比两组患者抢救效果。结果 探究组各项指标明显好于参照组，差异明显（P＜0.05）有统计学意义。结论 对急诊重症有机磷农药中毒患者，采用血液灌流+血液透析治疗，有助于提高患者治疗有效率，降低患者并发症，对改善患者苏醒时间，住院时间，胆碱酯酶恢复正常时间，阿托品使用剂量等指标也具有重要作用，值得推广。

Abstract

Objective To analyze the value of hemoperfusion and hemodialysis in the treatment of severe organophosphorus pesticide poisoning in emergency patients.
Methods A total of 38 patients with severe organophosphorus pesticide poisoning in emergency department of our hospital from February 2023 to February 2024 were selected as the research objects, and the "random number table" was used as the reference basis for grouping, and they were divided into a reference group (n=19 cases). The exploratory group (n=19 cases) was treated with hemoperfusion and hemodialysis, and the rescue effect of the two groups was compared.
Results The indexes of the inquiry group were significantly better than those of the reference group, and the difference was significant (P < 0.05).
Conclusion   For emergency patients with severe organophosphorus pesticide poisoning, the use of hemoperfusion + hemodialysis is helpful to improve the treatment efficiency of patients, reduce the complications of patients, and improve the recovery time of patients, hospital stay, cholinesterase recovery time, atropine dosage and other indicators, which is worth popularizing.