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目的分析并研究急性有机磷中毒急救护理的方法及效果。方法选取2014年7月~2015年6月本院急诊收治的急性有机磷中毒患者58例为对照组,实施常规急救护理;选取2015年7月~2016年6月本院急诊收治的急性有机磷中毒患者55例为观察组,实施有效护理干预。观察两组患者的抢救时间、症状消失时间、胆碱酯酶恢复正常时间、呼吸机治疗时间、住院时间、抢救成功率及院内感染发生率。结果观察组患者抢救时间、症状消失时间、CHE恢复正常时间、呼吸机治疗时间及住院时间均明显短于对照组(P<0.05);观察组患者的抢救成功率为94.55%,显著高于对照组的70.69%(P<0.05),院内感染的发生率为36.36%,明显低于对照组的55.17%(P<0.05)。结论有效护理干预应用于急性有机磷中毒患者,提高抢救成功率,缩短抢救时间、症状消失时间、胆碱酯酶恢复正常时间、呼吸机治疗时间及住院时间,降低了院内感染的发生率,值得在临床上推广应用。
Objective To analyze and study the method and effect of acute organophosphate poisoning emergency care. Methods Fifty-eight acute organophosphate poisoning patients admitted to our hospital from July 2014 to June 2015 were selected as the control group and received routine first-aid care. Acute organophosphate 55 cases of poisoning patients for the observation group, the implementation of effective nursing intervention. The two groups of patients were observed for rescue time, symptom disappearance time, cholinesterase recovery time, ventilator treatment time, hospital stay, rescue success rate and nosocomial infection rate. Results The rescue time, symptom disappearance time, recovery time of CHE, ventilator treatment time and hospital stay in observation group were significantly shorter than those in control group (P <0.05). The success rate of rescue in observation group was 94.55%, which was significantly higher than that of control group (P <0.05). The incidence of nosocomial infection was 36.36%, which was significantly lower than that of the control group (55.17%, P <0.05). Conclusions Effective nursing intervention in patients with acute organophosphate poisoning can improve the success rate of rescue, shorten the rescue time, the disappearance of symptoms, the time of normal recovery of cholinesterase, the time of ventilator treatment and hospitalization, and reduce the incidence of nosocomial infection. Promote the clinical application.