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目的对比长托宁与阿托品治疗有机磷中毒的临床疗效。方法选取有机磷中毒患者80例,随机分为观察组与对照组各40例,观察组给予长托宁治疗,对照组给予阿托品治疗,对比两组患者治疗情况与不良反应。结果观察组治愈率(97.5%)显著高于对照组的87.5%(P<0.05)。观察组在药物起效时间、阿托品化时间方面较对照组长,在用药次数、症状消失时间、胆碱酯酶(ChE)恢复时间、平均住院时间方面观察组较对照组少,两组对比差异有高度统计学意义(P<0.01)。观察组不良反应显著较低,差异有统计学意义(P<0.05或P<0.01)。结论长托宁治疗有机磷中毒疗效显著,安全可靠,值得推广。
Objective To compare the clinical efficacy of penehyclidine and atropine in the treatment of organophosphate poisoning. Methods Eighty patients with organophosphate poisoning were randomly divided into observation group (40 cases) and control group (40 cases). The observation group was treated with penehyclidine hydrochloride. The control group was treated with atropine. The treatment and adverse reactions were compared between the two groups. Results The cure rate of the observation group (97.5%) was significantly higher than that of the control group (87.5%, P <0.05). The observation group was shorter than the control group in terms of the onset time of the drug and the time of atropisation. There was less observation group than the control group in the frequency of medication, the disappearance of symptoms, the recovery time of ChE and the average hospital stay, There was a high degree of statistical significance (P <0.01). Adverse reactions in observation group were significantly lower, the difference was statistically significant (P <0.05 or P <0.01). Conclusion The treatment of organophosphate poisoning with changning is significant, safe and reliable, and worthy of promotion.