脂肪乳对地西泮中毒患者血液浓度影响的临床观察

来源 :中国急救医学 | 被引量 : 0次 | 上传用户:xuesuifeng
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目的 观察脂肪乳对地西泮中毒的血药浓度影响及临床疗效.方法用20%脂肪乳250 mL治疗5例地西泮中毒患者,动态监测Ramsay镇静深度评分和地西泮血药浓度,比较治疗前后不同时间点Ramsay镇静深度评分、地西泮实测血药浓度与理论代谢浓度之间的差异.结果 脂肪乳治疗2 h后,患者血液地西泮浓度有显著降低,治疗前后中毒药物浓度下降幅度远远大于其理论代谢状态下的下降幅度(554.6±369.4 vs 1883.6±811.5,P=0.002),治疗前后不同时间段Ramsay镇静深度评分差异有统计学意义[F=27.30;P=0.000;P=0.001(治疗前vs治疗后2 h);P=0.000(治疗前vs治疗后20 h);P=0.009(治疗后2 h vs治疗后20 h)].结论 小样本资料观察发现,脂肪乳可在短时间内显著降低地西泮血药浓度,改善中毒患者的意识状态,是值得进一步深入研究的脂溶性药物中毒潜在解毒剂.
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