预见性救护支持对重度有机磷农药中毒气管插管患者预后的影响  

The effect of predictable aid support in tracheal intubation with severe acute organ- ophosphorus pesticide poisoning patients

作　　者：刁统美[1] 

机构地区：[1]山东省滕州市中心人民医院普通外科,277500

出　　处：《国际护理学杂志》2017年第24期3380-3384,共5页international journal of nursing

摘　　要：目的 探讨预见性救护支持对重度有机磷农药中毒气管插管患者预后的效果.方法 将109例急性重度有机磷农药中毒气管插管患者按随机数字表法分为观察组55例和对照组54例.两组患者均遵医嘱给予洗胃与导泻.对照组应用阿托品、氯解磷定及机械通气呼吸支持治疗的常规护理,观察组在此基础上实施新式气管插管固定法,应用气管插管脱管报警装置及恒温湿化联合氧气驱动雾化为一体的预见性救护支持措施.观察比较两组的救护效果.结果 两组患者救治前呼吸、心率、血氧饱和度血气分析指标比较,差异均无统计学意义（均P〉0.05）,观察组救治后72 h呼吸、心率、血氧饱和度及血气分析指标与对照组比较,差异均有统计学意义（均P〈0.01）;观察组机械通气时间、气管插管时间、监护时间及住院时间分别为（25.63±3.24）h,（32.17±3.50）h,（5.65±1.63）d,（8.52±2.13）d,对照组分别为（37.82±3.75）h,（43.64±3.83）h,（9.78±1.85）d,（13.79±2.17）d,两组比较,差异均有统计学意义（均P〈0.01）;观察组的UE及并发症发生率明显低于对照组,而抢救成功率显著高于对照组,差异均有统计学意义（均P〈0.05）.结论 对SAOPP气管插管患者启动预见性救护支持预案,提高了抢救成功率,减少了并发症,改善了预后,提高了患者的救治效果.Objective To explore the effect of predictable aid support in tracheal intubation with severe acute organophosphorus pesticide poisoning （ SAOPP） patients. Methods A total of 109 patients were randomly divided into treatment group （ n=55 ） and control group （ n=54 ） . All the patients were treated with the gastric lavage and cathar-sis, and accepted atropine, pralidoxime chloride and ventilatory support as prescribed. More predictability ambulance measures were applied to the treatment group such as： reinforcement tracheal intubation, endotracheal intubation tube off alarm device and joint of thermostatic wetting with oxygen driving atomization. The therapy efficacy were compared between the two groups. Results There was no statistically significant difference between the two groups of patients be-fore treatment, such as respiration, heart rate and blood oxygen saturation （P〉0. 05）. The observation group was com-pared with the control group of 72 hours after treatment, and the difference was statistically significant （P〈0. 01）. The mechanical ventilation time, endotracheal intubation time, monitoring time and length of hospital stay of the observation group were （25. 63±3. 24） hours, （32. 17±3. 50） hours, （5. 65±1. 63） days and （8. 52±2. 13） days respectively, while the control group were （37. 82±3. 75） hours, （43. 64±3. 83） hours, （9. 78±1. 85） days and （13. 79±2. 17） days. The differences between the two groups were statistically significant （P〈0. 01）. The incidence of UE and com-plications of the observation group was significantly lower than those in the control group, while the success rate of rescue was significantly higher than that in the control group, and the difference was statistically significant （P〈0. 05）. Con-clusions Foresight rescue support plan in endotracheal intubation can increase the success rate, enhance the efficacy, reduce complications and improve prognosis of SAOPP patients.

关 键 词：有机磷农药中毒 气管插管 救护支持 预后 

分 类 号：R473.5[医药卫生—护理学]