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目的观察高压氧联合自拟苏醒汤治疗急性一氧化碳(CO)中毒临床疗效。方法一氧化碳中毒患者随机分为两组治疗,两组常规治疗相同。对照组(64例)(儿童及孕产妇除外)加用高压氧治疗,治疗组(56例)在对照组的基础上加用自拟苏醒汤,观察两组疗效。结果自拟苏醒汤治疗组与对照组总有效率分别为93.1%和77.8%,两组发生迟发脑病例数分别为4例和8例,比较均有统计学意义(P<0.05)。结论自拟苏醒汤配合高压氧治疗急性CO中毒能明显提高总有效率,缩短意识恢复时间,早期恢复脑电活动,提高ADL评分,同时减少迟发脑病的发生,且无不良反应。
Objective To observe the clinical effects of hyperbaric oxygen combined with self-prepared Decoction for the treatment of acute carbon monoxide (CO) poisoning. Methods Patients with carbon monoxide poisoning were randomly divided into two groups, the two groups of conventional treatment the same. Control group (64 cases) (except for children and pregnant women) plus hyperbaric oxygen therapy, the treatment group (56 cases) on the basis of the control group plus self-waking soup, the two groups were observed. Results The total effective rate of self-prepared Decoction group and control group was 93.1% and 77.8%, respectively. There were 4 cases and 8 cases of delayed encephalopathy in both groups, respectively (all P <0.05). CONCLUSION: Self-made waking soup combined with hyperbaric oxygen can significantly improve the total effective rate, shorten conscious recovery time, restore early EEG activity, improve ADL score, reduce the incidence of delayed encephalopathy and have no adverse reactions.