双葛解酒方联合盐酸纳洛酮注射液治疗急性酒精中毒非昏迷期患者临床研究
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R595.6

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Clinical Study on Shuangge Jiejiu Prescription Combined with Naloxone Hydrochlo⁃ ride Injection for Patients with Acute Alcohol Intoxication in Non-Coma Stage
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    摘要:

    目的:观察双葛解酒方联合盐酸纳洛酮注射液治疗急性酒精中毒(AAI) 非昏迷期患者的临床疗 效。方法:选取90例AAI非昏迷期患者为研究对象,按照简单随机法分为对照组和试验组各45例。对照组采 用盐酸纳洛酮注射液治疗,试验组在对照组的基础上加用双葛解酒方口服。比较2组临床疗效及不良反应发生 率,以及治疗前后呼气酒精浓度、中医证候评分、肝功能指标[丙氨酸氨基转移酶(ALT)、天门冬氨酸氨基转 移酶(AST)、谷氨酰转肽酶(GGT) ]水平。结果:治疗后,试验组总有效率为91.11%,对照组为73.33%, 2组比较,差异有统计学意义(P<0.05)。治疗后,2组头目胀痛、恶心呕吐、狂躁易怒、胁腹胀满、面红目 赤、黄疸、口苦口渴评分及总分均较治疗前降低(P<0.05),且试验组上述各项评分均低于对照组(P< 0.05)。治疗4 h后,2组呼气酒精浓度均较治疗前及治疗1 h降低(P<0.05),并呈下降趋势(P<0.05),且试 验组相同时间点呼气酒精浓度均低于对照组(P<0.05)。治疗后,2组ALT、AST、GGT水平均较治疗前降 低(P<0.05),且试验组3项肝功能指标水平均低于对照组(P<0.05)。试验组不良反应发生率为17.77%,对 照组为44.44%,2组比较,差异有统计学意义(P<0.05)。结论:双葛解酒方能够改善AAI非昏迷期患者的临 床症状,提高治疗效果,有效促进乙醇的代谢与排出,保护肝功能,且不良反应相对较少。

    Abstract:

    Abstract: Objective: To observe the clinical effect of the therapy of Shuangge Jiejiu Prescription combined with Naloxone Hydrochloride Injection on patients with acute alcohol intoxication (AAI) in noncoma stage. Methods:A total of 90 AAI patients in non-coma stage were selected as the study subjects and randomly divided into the control group and the trial group, with 45 cases in each group. The control group was treated with Naloxone Hydrochloride Injection and the trial group was additionally given oral administration of Shuangge Jiejiu Prescription based on the treatment of the control group. The clinical effects, incidence of adverse reactions, breath alcohol concentration, traditional Chinese medicine syndrome scores, and levels of liver function indexes, including alanine transaminase (ALT), aspartate aminotransferase (AST) and γ -glutamyl transpeptidase (GGT) were compared between the two groups before and after treatment. Results: The total effective rate was 91.11% in the trial group and 73.33% in the control group,the difference being significant (P<0.05). After treatment,the scores of distending pain in the head and eyes, nausea and vomiting, mania and irritability, distention and fullness in ribs and abdomen,red complexion and eyes,jaundice and bitter mouth and thirst and the total scores in the two groups were decreased when compared with those before treatment (P<0.05), and the above scores in the trial group were lower than those in the control group. After 4 hours of treatment, the breath alcohol concentration in the two groups were respectively lower than that before treatment and after 1 hour of treatment (P<0.05),and showed a downward trend (P<0.05);the breath alcohol concentration in the trial group at the same time point was lower than that in the control group (P<0.05). After treatment,the levels of ALT,AST and GGT in the two groups were decreased when compared with those before treatment (P< 0.05),and the above three levels in the trial group were lower than those in the control group (P<0.05). The incidence of adverse reactions was 17.77% in the trial group and 44.44% in the control group, the difference being significant (P<0.05). Conclusion:The Shuangge Jiejiu Prescription can improve the clinical symptoms of AAI patients in non-coma stage, enhance the curative effect, effectively promote the metabolism and excretion of ethanol and protect the liver function with less adverse reactions.

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邬丹琴,周佳龙,熊鑫浩.双葛解酒方联合盐酸纳洛酮注射液治疗急性酒精中毒非昏迷期患者临床研究[J].新中医,2024,56(8):85-89

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  • 在线发布日期: 2024-04-23
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