急性有机磷农药中毒患者标准化洗胃方案的建立及实施

发布时间：2018-03-14 21:17

本文选题：有机磷化合物　切入点：洗胃　出处：《中华护理杂志》2017年11期 　论文类型：期刊论文

【摘要】：目的建立急性有机磷农药中毒(acute organophosphorus pesticide poisoning,AOPP)患者标准化洗胃方案,并探讨其临床应用效果。方法通过总结证据,形成AOPP患者标准化洗胃方案,选取2016年11月—2017年4月37例患者为研究对象。实验组18例,实施AOPP患者标准化洗胃方案;对照组19例,实施传统操作方案。分别比较2组一次置管成功率、首次洗胃时间、达到阿托品化时间及阿托品总用量、乙酰胆碱酯酶恢复正常时间、住院时间、反跳发生率及不良反应发生率等指标。结果 AOPP患者标准化洗胃方案实施后,患者首次洗胃时间、达到阿托品化时间、阿托品总用量、乙酰胆碱酯酶恢复正常时间以及住院时间低于对照组,差异具有统计学意义(P0.05)。结论 AOPP患者标准化洗胃方案制订过程科学、可靠,能提高患者的护理质量,促进了护理安全。
[Abstract]:Objective to establish a standardized gastric lavage regimen for patients with acute organophosphorus pesticide poisoning of acute organophosphorus pesticide poisoning (AOPP) and to discuss its clinical application effect. Methods by summarizing the evidence, the standardized gastric lavage scheme for AOPP patients was formed. From November 2016 to April 2017, 37 patients were selected as the study subjects. The experimental group (n = 18) was treated with standardized gastric lavage regimen for AOPP, while the control group (n = 19) was treated with traditional operation. The success rate and the first gastric lavage time were compared between the two groups. The time of atropinization, the total dosage of atropine, the time of recovery of acetylcholinesterase, the time of hospitalization, the rate of rebound and the incidence of adverse reaction were reached. Results after the implementation of standardized gastric lavage regimen, the first time of gastric lavage was obtained in patients with AOPP. The time of atropinization, the total dosage of atropine, the time of recovery of acetylcholinesterase and the time of hospitalization were lower than those of the control group, and the difference was statistically significant (P 0.05). Conclusion the process of standard gastric lavage for AOPP patients is scientific and reliable. It can improve the nursing quality of patients and promote nursing safety.
【作者单位】：重庆医科大学附属第二医院急救部;重庆市奉节县人民医院护理部;重庆市奉节县人民医院急救部;
【分类号】：R473.5

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