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硫酸镁辅助治疗有机磷中毒的疗效观察

Therapeutic Effect of Adding Magnesium Sulfate in Treatment of Organophosphorus Poisoning.

作者信息

Jamshidi Fatemeh, Yazdanbakhsh Arash, Jamalian Mohammad, Khademhosseini Peyman, Ahmadi Koroosh, Sistani Alireza, Jokar Abolfazl

机构信息

Department of Emergency Medicine, Arak University of Medical Sciences, Arak, Iran.

Arak University of Medical Sciences, Arak, Iran.

出版信息

Open Access Maced J Med Sci. 2018 Nov 15;6(11):2051-2056. doi: 10.3889/oamjms.2018.350. eCollection 2018 Nov 25.

Abstract

BACKGROUND

In recent years, the prevalence of poisoning has increased dramatically due to population growth and access to drugs and toxins. Today poisoning is one of the important reasons for visiting hospitals.

AIM

The present study aimed to investigate the effect of magnesium sulfate on organophosphorous toxicity.

METHODS

Patients who had inclusion criteria in the study were randomly assigned to one of two groups (control group or case group) by an emergency medicine specialist. Patients' data including age, sex, ECG, vital signs, arterial oxygen saturation were recorded for patients. Patients in the case group (40 subjects) received 2 mg magnesium sulfate 50%, while the control group (40 subjects) received 100 cc normal saline (as placebo) as an intravenous infusion.

RESULTS

The distribution of gender in the two groups of patients was the same. Also, the mean age, Stature and weight of patients were similar in both groups. In the group receiving magnesium sulfate, diastolic blood pressure was lower when compared with another group, at 0 and 2 hours after intervention. Moreover, the mean of systolic blood pressure in both groups was determined to be the same at all hours. Furthermore, the heart rate in the group receiving sulfate was lower as compared to the control group for 8 hours, 16 and 24 hours after intervention.

CONCLUSION

The use of magnesium sulfate in organophosphate poisoning reduces therapeutic costs an average hospital length of stay and mortality compared to those who did not receive magnesium sulfate.

摘要

背景

近年来,由于人口增长以及药物和毒素的可及性,中毒的发生率急剧上升。如今,中毒是就医的重要原因之一。

目的

本研究旨在探讨硫酸镁对有机磷中毒的影响。

方法

符合纳入标准的患者由一名急诊医学专家随机分为两组(对照组或病例组)。记录患者的年龄、性别、心电图、生命体征、动脉血氧饱和度等数据。病例组(40名受试者)静脉输注2毫克50%的硫酸镁,而对照组(40名受试者)静脉输注100毫升生理盐水(作为安慰剂)。

结果

两组患者的性别分布相同。此外,两组患者的平均年龄、身高和体重相似。在接受硫酸镁的组中,干预后0小时和2小时的舒张压低于另一组。而且,两组在所有时间点的收缩压平均值相同。此外,干预后8小时、16小时和24小时,接受硫酸镁组的心率低于对照组。

结论

与未接受硫酸镁的患者相比,在有机磷中毒中使用硫酸镁可降低治疗成本、平均住院时间和死亡率。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c6b6/6290410/40500b1d5dfc/OAMJMS-6-2051-g002.jpg

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