院前急救对中重度急性有机磷农药中毒患者的预后影响  

Effect of Prehospital First Aid on the Prognosis of Acute Moderate or Severe Organic Phosphorus Poisoning Patients

作　　者：王春光[1] 邹美玲[1] WANG Chun-guang, ZOU Mei-ling （Emergency Department of the People＇s Hospital of Jieshou City, Jieshou 236500,China）

机构地区：[1]界首市人民医院急诊科,安徽界首236500

出　　处：《医学信息》2010年第13期2144-2145,共2页Journal of Medical Information

摘　　要：目的研究早期院前急救对中重度急性有机磷农药中毒（AOPP）患者预后相关因素的影响。方法选择中重度AOPP患者120例,随机分为两组,120接入组（观察组）74例,自行入院组（对照组）46例。比较两组服毒至开始急救及洗胃的时间,分析两组的预后情况。结果两组比较,观察组患者服毒至开始急救及洗胃的平均时间均低于对照组（P〈0.01）;观察组患者的住院前死亡率及总死亡率均低于对照组（P〈0.01）;两组住院后治愈率均达94%以上（P〉0.05）,但观察组患者住院平均天数明显缩短（P〈0.01）。结论中重度AOPP患者院前死亡率较高,早期院前急救施措的应用能改善患者的预后,降低死亡率。Objective To research effect of prehospital first aid on the prognosis of acute moderate or severe organic phosphorus poisoning patients. Method 120 cases of moderate or severe AOPP patients were divided into 2 groups randomly, namely 120 first-aid group （Group A） of 74 cases and hospital group （Group B） of 46 cases. Average time to start first-aid and gastric lavage since poisoning between the 2 groups is compared so as to analyze prognosis of the 2 groups. Result By comparison, it reduces time to start first-aid and gastric lavage since poisoning for Group A （P〈 0.01）; prehospital and overall death rate is reduced （P〈0.01）; cure rate after hospitalization is up to over 94% （P〉0.05）; however, average days for in-hospital patients of Group A are remarkably reduced （P〈0.01）. Conclusion Prehospital moderate or severe AOPP patients have a higher death rate to demonstrate that application of early prehospital first-aid treatment could improve prognosis of patients so as to reduce death rate.

关 键 词：院前急救 中重度有机磷中毒 预后 

分 类 号：R595.4[医药卫生—临床医学;医药卫生—内科学]