大剂量糖皮质激素对重症蜂蜇伤患者预后的影响分析

发布时间：2018-06-02 11:17

本文选题：糖皮质激素 + 甲强龙　；参考：《重庆医学》2016年25期

【摘要】：目的探讨大剂量糖皮质激素对重症蜂蜇伤患者的疗效及预后。方法选取2012年3月至2014年12月在川北医学院附属医院收治的重症蜂蜇伤患者57例作为研究对象,根据糖皮质激素用量分为甲强龙冲击组(观察组,27例)与常规剂量甲强龙组(对照组,30例)。比较两组患者肝、肾功能与尿常规指标,观察并记录住院时间、肾功能恢复时间及病死率。结果入院第1天两组患者的总胆红素(TB)、丙氨酸氨基转移酶(ALT)、血清肌酐(Scr)比较差异均无统计学意义(P0.05),入院第7天两组患者的各项生化指标与入院第1天比较差异均有统计学意义(P0.05)。观察组住院时间、肾功能恢复时间均明显小于对照组,差异有统计学意义(P0.05)。结论甲强龙冲击对重症蜂蜇伤治疗效果更好,能促进患者受损器官功能的恢复,缩短患者住院时间,降低患者的住院费用。
[Abstract]:Objective to investigate the effect and prognosis of high dose glucocorticoid on severe bee sting patients. Methods from March 2012 to December 2014, 57 patients with severe bee sting were treated in affiliated Hospital of North Sichuan Medical College. According to the dosage of glucocorticoid, the rats were divided into two groups: the control group (n = 30) and the control group (n = 30). The indexes of liver, kidney function and urine routine were compared between the two groups, and the time of hospitalization, the time of recovery of renal function and the mortality were observed and recorded. Results there were no significant differences in total bilirubin TBN, alanine aminotransferase (alt) and creatinine (creatinine) between the two groups on the first day of admission. The biochemical indexes of the two groups on the 7th day of admission were significantly different from those on the first day of admission. The time of hospitalization and recovery of renal function in the observation group were significantly lower than those in the control group (P 0.05). Conclusion the treatment of severe bee stinging with the impact of methylketenolone is more effective, it can promote the recovery of injured organ function, shorten the hospitalization time and reduce the hospitalization cost of the patients.
【作者单位】：川北医学院附属医院急诊科;重庆医科大学附属第二医院急救部;
【分类号】：R646

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