有机磷农药中毒致迟发性周围神经病变康复治疗疗效观察  

Effect of rehabilitation training on recovery of acute organophosphate poisoning induced delayed peripheral neuropathy

作　　者：郭艳艳 田质光 陈超峰 高夫海 赵义 王广军 GUO Yanyan TIAN Zhiguang CHEN Chaofeng GAO Fuhai ZHAO Yi WANG Guangjun(Xuzhou Prevention and Treatment Haspital for Occupation Disease, Xuzhou,Jiangsu 221005, China)

机构地区：[1]徐州市职业病医院,江苏徐州221005

出　　处：《职业卫生与应急救援》2016年第5期366-368,共3页Occupational Health and Emergency Rescue

摘　　要：目的探讨康复训练对有机磷农药中毒致迟发性周围神经病变患者临床疗效的影响。方法采用前瞻性随机对照研究方法,将2012年1月至2014年12月收治的80例有机磷农药中毒致迟发性周围神经病变患者随机分为康复组和对照组各40例,全部患者均给予常规对症治疗。康复组在此基础上每天给予肌力训练和健康教育等康复治疗,对两组患者的神经传导速度、肌力及生活质量评分进行分析,3个月后判断其疗效。结果治疗前两组患者神经传导速度、肌力及SF-36健康调查量表各项指标评分差异无统计学意义,康复治疗3个月后,康复组尺神经及腓总神经传导速度、肌力及SF-36健康调查量表各项指标评分均较康复前及对照组有明显提高或改善(P<0.05或0.01)。结论给有机磷农药中毒致迟发性周围神经病变患者制定系统的康复治疗计划,能提高其肌力及生活质量,值得推广。Objective To observe the clinical effects of rehabilitation training on the treatment of acute organophosphate poisoning induced delayed peripheral neuropathy （OPIDN）. Methods Totally 80 cases of OPIDN were divided into two groups, and the rehabilitation training group of patients received additionally rehabilitation training except for the conventional symptomatic treatment. Three month later, the electromyogram,the muscles strength,clinical effect and SF-36 health survey score in two groups were observed. Results After three months＇ rehabilitation training, The patients in the training group had better conditions than the patients in the conventional treatment group, or before the rehabilitation training, and the differences of all observed indicators had statistically significance （P〈0.05 or 0.01）. Conclusion The rehabilitation training was practically effective in the treatment of OPIDN. It has application value and could be used in the clinic.

关 键 词：OPIDN 有机磷中毒 周围神经病变 康复训练 肌力 

分 类 号：R139.3[医药卫生—劳动卫生]