Clinical observation of naloxone treatment in drowing children
Hongjun Miao, Tao Jiang, Xuhua Ge, Yong Liu, Shaodong Zhao, Ai-dong Cai
Abstract
Hongjun Miao, Tao Jiang, Xuhua Ge, Yong Liu, Shaodong Zhao, Ai-dong Cai
Abstract
Objective To investigate the clinical effects and mechanism of naloxone treatment in drowing children.Methods A total of 97 drowing children were divided into treatment group(n=45)and control group(n=52)depending on whether the naloxone was administrated.General treatment was adopted in two groups.Treatment group Was given naloxone.The clinical effects were observed and the levels of betaendorphin(β-EP)in blood plasma were measured with radioimmunoassay(RIA)before and after treatment respectively.Results The total effective rate of treatment group(93.3%,42/45)Was significantly higher than that of control group(76.9%,40/52)(P<0.05).As compared with that of control group(65.0%,26/40),nervous system disability rate in treatment group(33.3%,14/42)decreased significantly(P<0.01).Continuous days of poor blood circulation,abnormal respiratory rhythm,convulsion and coma in treatment group were significantly shorter than those of control group respectively(P<0.01).The level of β-EP was significantly lower in treatment group than that of control group(t=17.1,P<0.01).Conclusion Clinical use of naloxone in the drowing children has curative result by reducing the level of blood plasma β-EP. Key words: Naloxone; Drowing; beta-Endorphin; Children
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Objective To investigate the clinical effects and mechanism of naloxone treatment in drowing children.Methods A total of 97 drowing children were divided into treatment group(n=45)and control group(n=52)depending on whether the naloxone was administrated.General treatment was adopted in two groups.Treatment group Was given naloxone.The clinical effects were observed and the levels of betaendorphin(β-EP)in blood plasma were measured with radioimmunoassay(RIA)before and after treatment respectively.Results The total effective rate of treatment group(93.3%,42/45)Was significantly higher than that of control group(76.9%,40/52)(P<0.05).As compared with that of control group(65.0%,26/40),nervous system disability rate in treatment group(33.3%,14/42)decreased significantly(P<0.01).Continuous days of poor blood circulation,abnormal respiratory rhythm,convulsion and coma in treatment group were significantly shorter than those of control group respectively(P<0.01).The level of β-EP was significantly lower in treatment group than that of control group(t=17.1,P<0.01).Conclusion Clinical use of naloxone in the drowing children has curative result by reducing the level of blood plasma β-EP. Key words: Naloxone; Drowing; beta-Endorphin; Children
Key concepts: Medicine, (+)-Naloxone, Anesthesia, Coma (optics), Convulsion, Radioimmunoassay, Treatment and control groups, Clinical efficacy