海水淹溺肺水肿不同治疗方案的护理  

Nursing observation of different therapeutic schedules on seawater drowning-induced acute pulmonary patients

作　　者：石丹琴 赵俊光 林小芬 张军 刘水姑 马晓华 张立民 

机构地区：[1]深圳市盐田区人民医院急诊科,518081 [2]深圳市盐田区人民医院护理部,518081 [3]深圳市盐田区人民医院科教科,518081

出　　处：《中华现代护理杂志》2011年第15期1774-1776,共3页Chinese Journal of Modern Nursing

基　　金：深圳市科技计划资助项目（200602144）

摘　　要：目的明确海水淹嗣肺水肿不同治疗的护理，提高抢救成功率。方法根据不同治疗方案分为联合组和传统组两组。联合组99例海水淹溺肺水肿使用东莨菪碱加纳洛酮，传统组70例应用西地兰、尼可刹米治疗，并比较两组心率、平均动脉压、呼吸频率、血氧饱和度等护理指标和抢救成功率。结果2种方案治疗后平均动脉压、呼吸频率、血氧饱和度明显改善，且联合组优于传统组，差异有统计学意义（P〈0．05）。联合组抢救成功率93．93％；传统组80．00％，联合组好于传统组，差异有统计学意义（P〈0．05）。结论海水淹溺肺水肿病情凶险，变化迅速，临床表现多样，护理观察指标多，需专职护士负责指标的实时监控，结合早期联合治疗，可提高抢救成功率。Objective To clarify the different treatments nursing on seawater drowning-induced acute pulmonary edema patients, and improve the survival rate. Methods According to the treatment, we have federated and traditional groups. 99 pulmonary edema patients with seawater drowning in the federated group are treated by scopolamine combined with naloxone, while 70 patients in the traditional group are treated by sildenafil and nikethamide, then the two groups are compared and observed the result through heart rate, average blood pressure, reapiration rate, oxygen saturation and the success rate of rescue. Results The two therapeutic schedules make the average blood pressure, respiration rate and oxygen saturation be better（ P 〈 0. 05 ）. The success rate d rescue in the federated group is 93.93%, anti it is 80.00% in another group. So the result of federated group is better than the traditional group （ P 〈 0. 05）. Conclusions Pulmonary edema patients＇ condition with seawater drowning is dangerous, changes rapidly, and the clinical manifestations is diverse, nursing index, so we need a full-time nurse to give responsible care and real-time monitoring on them, nurses should combine with the combined treatment to improve the success rate of rescue.

关 键 词：海水淹溺 肺水肿 治疗 护理 成功率 

分 类 号：R473.6[医药卫生—护理学]