活性炭胃肠灌洗抢救重症有机磷农药口服中毒患者的临床研究  

Clinic Study of Activated Charcoal Gastroenteric Irrigation to the Dose Organ Phosphorus Intoxicated Patients

作　　者：周丰美[1] 冯志娟[1] 鲍琴华[1] 徐香梅[1] 

机构地区：[1]江苏省金坛市人民医院,江苏金坛213200

出　　处：《实用护理杂志》2000年第9期5-6,共2页Journal of Practical Nursing

摘　　要：目的 :研究活性炭胃肠灌洗对急性重症有机磷农药口服中毒患者阿托品用量及病程的影响。方法 :5 0例重症甲胺磷中毒患者同期随机分为对照组 2 5例 ,实验组 2 5例。对照组采用传统方案治疗 ;实验组采用传统方案加活性炭胃肠灌洗。活性炭用量依据灌洗前后胃液甲胺磷含量测定值 ,分别测定 2组病人阿托品用量及病程 ,并进行对照。结果 :实验组阿托品用药总量与住院日数均低于对照组 ,具有高度显著性差异 (P <0 .0 0 1)。结论 :活性炭胃肠灌洗救治急性重症有机磷中毒 ,可明显减少阿托品用药总量 ,显著缩短患者住院日数 ,降低死亡率。To study the effect of activated crarco irrigation to the dose of atropine and course of dueast for acute and serious organphosphorus intoxicated patients.Methods:50 seriously poinsoned methami dopho patients are divided into experimental group and comparable group at random at the sametime,each group has 25 patients.The patients in comparable group are treated in traditional way,while the patients in experimental group are treated in traditional and activated charcoal irrigation way.The atropine dose bases on the measurement of the content of metham dophos in the gastric juice before and after irrigation.Measure the atropine dose and course of disease of each group and then compare the two groups.Results:The total atropine dose is less and the days in hospital are fewer in experimental group than in comparable group.The differences are obvious (P<0.01).Conclusion:It can obviously reduce the atropine dose,shorten the days in hospital and decrease the death rate in the activated charcoal gastroenteric irrigation.

关 键 词：急性有机磷中毒 活性炭 胃肠灌洗 抢救 护理 

分 类 号：R472[医药卫生—护理学]