内科危重症抢救治疗中纳洛酮的应用研究  

Study on application of Naloxone in emergency treatment of critical medical patients

作　　者：许平敏 Xu Pingmin(Department of Emergency Medicine,Baise People's Hospital, Baise Guangxi, 533000, China)

机构地区：[1]百色市人民医院急救医学科,广西百色533000

出　　处：《中外女性健康研究》2022年第2期85-86,共2页Women＇s Health Research

摘　　要：目的探究在内科危重患者抢救中予以纳洛酮的应用价值。方法研究样本选自本院2019年2月至2020年2月收治的内科危重患者88例,分别予以不同的治疗方案,对照组予以常规内科治疗方案(44例),观察组予以常规内科联合纳洛酮治疗(44例),对比两组治疗效果。结果观察组住院时间为(8.36±1.29)d,对照组为(11.62±1.24)d,组间对比差异显著(P<0.05);观察组患者死亡率为6.8%(3/44),对照组为25.0%(11/44),组间对比差异显著(P<0.05);观察组酒精中毒恢复时间为(10.36±2.10)h,呼吸衰竭恢复时间为(1.75±0.37)h,脑梗死恢复时间为(13.51±2.06)h,肾功能障碍恢复时间为(7.52±1.25)h;对照组酒精中毒恢复时间为(13.74±2.62)h,呼吸衰竭恢复时间为(2.73±0.36)h,脑梗死恢复时间为(15.75±2.33)h,肾功能障碍恢复时间为(10.94±1.37)h,组间对比差异显著(P<0.05)。结论纳洛酮应用于临床内科危重患者抢救中,能明显提升其康复效果,改善患者各项疾病病症,进一步提升其康复速度,为临床有效治疗方案,值得应用。Objective:To explore the application value of naloxone in the rescue of critical medical patients.Methods:The study samples were selected from 88 critically ill medical patients admitted to our hospital from February 2019 to February 2020.They were given different treatment plans respectively.The control group was given conventional medical treatment plan(44 cases),and the observation group was given conventional medical treatment combined with naloxone(44 cases),and the treatment effects of the two groups were compared.Results:The length of stay in the observation group was(8.36±1.29)d,and that in the control group was(11.62±1.24)d,and there was significant difference between the two groups(P<0.05).The mortality of observation group was 6.8%(3/44),and that of control group was 25.0%(11/44),with significant difference between groups(P<0.05).The recovery time of the observation group was(10.36±2.10)h for alcoholism,(1.75±0.37)h for respiratory failure,(13.51±2.06)h for cerebral infarction,and(7.52±1.25)h for renal dysfunction.In the control group,the recovery time was(13.74±2.62)h for alcoholism,(2.73±0.36)h for respiratory failure,(15.75±2.33)h for cerebral infarction,and(10.94±1.37)h for renal dysfunction,and the difference was significant(P<0.05).Conclusion:The application of naloxone in the rescue of critically ill patients in clinical medicine can significantly improve its rehabilitation effect,improve various diseases and symptoms of patients,and further improve its rehabilitation speed,which is an effective clinical treatment plan and worthy of application.

关 键 词：内科 危重症 抢救 纳洛酮 应用价值 

分 类 号：R5[医药卫生—内科学]