规范化护理措施对有机磷中毒患者预后的影响  

Effect of standardized care measures for patients with organophosphate poisoning prognosis

作　　者：张文鑫[1] 高春兴[1] 代巍巍[1] 石琳[1] 

机构地区：[1]哈尔滨医科大学附属二院,黑龙江哈尔滨150001

出　　处：《现代医学》2016年第10期1370-1374,共5页Modern Medical Journal

摘　　要：目的：探究规范化护理措施对有机磷中毒患者预后的影响。方法：回顾性分析2012年1月至2013年1月我院收治的50例有机磷中毒患者的临床资料,入院后给予患者常规护理,作为对照组;选取2013年2月至2014年2月收治的50例有机磷中毒患者,对其临床资料进行回顾性分析,入院后给予规范化护理措施,作为观察组。观察并比较两组患者护理后的临床效果及预后情况。结果：观察组患者的清洁肠道时间、阿托品化时间、胆碱酯酶（Ch E）恢复正常所需时间、机械通气时间、住院时间及治疗费用分别为（9.9±3.6）h、（39.5±5.2）min、（3.9±1.7）d、（68.5±12.7）h、（5.9±2.3）d、（3 825.5±345.1）元,均明显短于或低于对照组（P〈0.05）;观察组患者护理后并发症发生率及病死率分别为12.0%、8.0%,对照组分别为38.0%、22.0%,观察组明显低于对照组（χ~2=9.01、3.84,P〈0.05）;观察组患者对护理的满意度及护理后治疗依从率分别为98.0%、96.0%,对照组分别为74.0%、84.0%,观察组高于对照组（χ~2=5.98、9.49,P〈0.05）。结论：规范化护理措施对急性有机磷中毒患者的临床疗效显著,不仅抢救成功率明显提高,病死率降低,且并发症减少、治疗依从性及满意度提高,值得在临床上广泛应用。Objective： To explore the effect of standardized nursing measures on the prognosis of patients with organophosphorus poisoning. Methods： A retrospective analysis of the clinical data of 50 cases of organophosphorus poisoning patients from January 2012 to January 2013 in our hospital was done,patients were given routine nursing after admission,as the control group; a retrospective analysis of the clinical data of 50 cases of organophosphorus poisoning patients from February 2013 to February 2014 was done,patients were given standardized nursing measures after admission,as the observation group. The clinical effects and prognoses of the two groups of patients after nursing were observed and compared. Results： The intestinal cleaning time,atropinization time,Ch E recovery time, mechanical ventilation time, hospitalization time and treatment costs of the patients in the observation group were（ 9. 9 ± 3. 6） h,（ 39. 5 ± 5. 2） min,（ 3. 9 ± 1. 7） d,（ 68. 5 ± 12. 7） h,（ 5. 9 ± 2. 3） d,（ 3 825. 5 ± 345. 1） yuan,which were significantly less than or lower than those of the control group（ P 〈 0. 05）;after nursing,the complication rate and mortality rate of the patients in the observation group were 12%,8%,which in the control group were respectively 38%,22%,which with significant differences（ χ2= 9. 01,3. 84,P 〈 0. 05）; nursing satisfaction and compliance rate of nursing care of the patients in the observation group were98%,96%,which in the control group were respectively 74%,84%,which with significant differences（ χ2=5. 98,9. 49,P 〈 0. 05）. Conclusion： The clinical efficacy of standardized nursing measures on acute organic phosphorus poisoning patients is significant,the successful rescue rate significantly increases,the fatality rate and complications reduce,treatment compliance and satisfaction increase,it is worth being used widely in clinical care.

关 键 词：规范化护理 常规护理 有机磷中毒 心理状态 预后 

分 类 号：R473.5[医药卫生—护理学] R595[医药卫生—临床医学]