AIM To explore the effects of Xuebijing Injection (Carthami Flos,Salviae miltiorrhizae Radix et Rhizoma,Paeoniae Radix Rubra,etc.) on serum CRP,TNF-α and IL-6 levels in patients with severe acute organophosphorus pesticide poisoning (AOPP).METHODS Seventy-two cases of patients with AOPP treated from Jan 2014 to Mar 2016 in the emergency department of our hospital were randomly divided into two groups,the control group treated with atropine,pralidoxime chloride and conventional treatment,and the observation group combined with Xuebijing Injection.The dynamic changes of serum CRP,TNF-α and IL-6 levels,and clinical curative effects were compared between the two groups.RESULTS The serum CRP,TNF-α and IL-6 levels in the two groups were decreased in turn before the treatment,at the 3rd,7th days after the treatment,and the serum CRP,TNF-α and IL-6 levels in the observation group were significantly lower than those in the control group;the dosage of atropine,time of cholinesterase activity recovered 60％ and hospital stay in the observation group were significantly less than those in the control group;the rebound rate of the observation group was lower than that of the control group.The acute respiratory distress syndrome (ARDS) rate in the observation group was significantly lower than that in the control group.All the differences had statistical significances (P ＜ 0.05).CONCLUSION Xuebijing Injection can effectively inhibit the inflammatory response,reduce the incidence of complications,shorten the course,and improve the clinical efficacy in the treatment of patients with AOPP.%目的 探讨血必净注射液(红花、丹参、赤芍等)对重度急性有机磷农药中毒患者血清C反应蛋白(CRP)、肿瘤坏死因子-α(TNF-α)及白细胞介素-6(IL-6)水平的影响.方法 选择2014年1月-2016年3月间我院急诊科收治的72例重度急性有机磷农药中毒患者,随机分为2组,对照组给予阿托品、氯磷定及常规治疗,观察组联用血必净注射液,比较2组血清CRP、TNF-α及IL-6水平的动态变化以及临床疗效.结果 2组血清CRP、TNF-α及IL-6水平在治疗前、3d后、7d后依次下降;观察组血清CRP、TNF-α及IL-6水平均明显低于对照组;观察组阿托品用量、胆碱酯酶活性恢复60％时间及住院时间均明显少于对照组,反跳发生率低于对照组;观察组急性呼吸窘迫综合征发生率明显低于对照组.以上差异都有统计学意义(P＜0.05).结论 血必净注射液治疗重度急性有机磷农药中毒患者时,可有效抑制炎症反应,减少并发症发生率,缩短病程,改善临床疗效.
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