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目的探讨置入胃管洗胃对重度急性酒精中毒的疗效。方法收集广西昭平县人民医院急诊科2009年3月至2014年3月收治的81例重度酒精中毒患者,随机分为洗胃组45例和对照组23例。两组均给予开放气道及常规治疗,洗胃组在此基础上辅以置入胃管洗胃。结果洗胃组症状消失时间为(2.23±1.01)h,患者神志转清时间为(3.18±1.85)h;对照组患者症状消失时间为(3.34±0.8)h,神志转清时间为(8.14±2.68)h,两组差异有统计学意义(P<0.05);对照组并发症发生率10.6%,洗胃组并发症发生率12.1%,两组不良反应的发生率差异无统计学意义。结论对重度急性酒精中毒患者,在气道开放及内科常规药物治疗的基础上辅以置入胃管洗胃,能明显缩短苏醒时间,治疗满意。
Objective To investigate the effect of gastric lavage on severe acute alcoholism. Methods A total of 81 patients with severe alcoholism admitted to Emergency Department of Zhaoping People’s Hospital of Guangxi from March 2009 to March 2014 were randomly divided into gastric lavage group (n = 45) and control group (n = 23). Both groups were given open airway and routine treatment, gastric lavage group supplemented by gastric tube gastric lavage. Results The disappearance time of gastric lavage group was (2.23 ± 1.01) h, the duration of consciousness clearing was (3.18 ± 1.85) h in control group and (3.34 ± 0.8) h in control group 2.68) h, the difference between the two groups was statistically significant (P <0.05). The incidence of complications in the control group was 10.6%, and the incidence of complications in the gastric lavage group was 12.1%. There was no significant difference in the incidence of adverse reactions between the two groups. Conclusions For patients with severe acute alcoholism, gastric lavage and gastric lavage are supplemented on the basis of open airway and routine medical treatment of medications, and the recovery time can be significantly shortened, and the treatment satisfaction is satisfied.