首页|期刊导航|中国医学创新|血浆置换结合连续血液净化治疗重症蜂蜇伤的效果

血浆置换结合连续血液净化治疗重症蜂蜇伤的效果OA

Effect of Plasma Exchange Combined with Continuous Blood Purification in the Treatment of Severe Bee Stings

中文摘要英文摘要

目的:分析血浆置换结合连续血液净化治疗重症蜂蜇伤患者的效果.方法:选择 2020 年1 月—2024 年 3 月麻城市人民医院收治的 68 例重症蜂蜇伤患者,随机分成对照组、研究组,每组 34 例.两组均给予常规对症处理,在此基础上,对照组接受连续血液净化治疗,研究组接受血浆置换结合连续血液净化治疗.对比两组生化指标、炎症因子、并发症发生率、临床疗效.结果:治疗 1 周后,研究组肌酸激酶同工酶-MB(CK-MB)、Scr、ALT、AST、BUN 水平低于对照组(P<0.05).治疗 1 周后,研究组 IL-8、IL-6、TNF-α 水平低于对照组(P<0.05).研究组总有效率高于对照组(P<0.05).两组并发症发生率比较,差异无统计学意义(P>0.05).结论:血浆置换结合连续血液净化治疗重症蜂蜇伤效果较好,可改善临床症状,提升治愈率,安全性高.

Objective:To analyze the effect of plasma exchange combined with continuous blood purification in the treatment of patients with severe bee sting.Method:A total of 68 patients with severe bee stings admitted to Macheng People's Hospital from January 2020 to March 2024 were selected and randomly divided into control group and study group,with 34 cases in each group.Both groups were given conventional symptomatic treatment.On this basis,the control group received continuous blood purification treatment,and the study group received plasma exchange combined with continuous blood purification treatment.The biochemical indicators,inflammatory factors,incidence of complications and clinical efficacy of the two groups were compared.Result:One week after the treatment,the levels of creatine kinase isoenzyme-MB(CK-MB),Scr,ALT,AST and BUN in the study group were lower than those in the control group(P<0.05).One week after the treatment,the levels of IL-8,IL-6 and TNF-α in the study group were lower than those in the control group(P<0.05).The total effective rate of the study group was higher than that of the control group(P<0.05).There was no statistically significant difference in the incidence of complications between the two groups(P>0.05).Conclusion:Plasma exchange combined with continuous blood purification is effective in the treatment of severe bee sting,which can improve the clinical symptoms,improve the cure rate,and has high safety.

吴玲;谷世娟;周林;卢宁;李樱;林承祥

麻城市人民医院输血科 湖北 麻城 438300麻城市人民医院输血科 湖北 麻城 438300麻城市人民医院输血科 湖北 麻城 438300麻城市人民医院输血科 湖北 麻城 438300麻城市人民医院输血科 湖北 麻城 438300麻城市人民医院输血科 湖北 麻城 438300

血浆置换连续血液净化重症蜂蜇伤炎症因子生化指标

Plasma exchangeContinuous blood purificationSevere bee stingInflammatory factorsBiochemical indicators

《中国医学创新》 2026 (7)

41-44,4

10.3969/j.issn.1674-4985.2026.07.010

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