中华眼镜蛇咬伤致严重呼吸衰竭的护理分析  

Nursing Analysis of Severe Respiratory Failure Caused by Chinese Cobra Bite

作　　者：黄雁翎 程明峰[1] 陈美华[1] 沈芳华[1] HUANG Yanling;CHENG Mingfeng;CHEN Meihua;SHEN Fanghua(People’s Hospital Affiliated to Fujian University of Traditional Chinese Medicine,Fuzhou 350004,China)

机构地区：[1]福建中医药大学附属人民医院,福建福州350004

出　　处：《中外医学研究》2020年第30期98-100,共3页CHINESE AND FOREIGN MEDICAL RESEARCH

摘　　要：目的:分析和研究中华眼镜蛇咬伤致严重呼吸衰竭的有效护理方法。方法:研究对象为2017年1月-2019年10月于笔者所在医院接受治疗的60例中华眼镜蛇咬伤致呼吸衰竭患者,使用随机分组法分为对照组(30例)和观察组(30例)。经过治疗后,对照组采取常规护理干预,观察组采取针对性护理干预。对比两组入院处置时间、吸氧时间、住院时间和护理满意度,对比两组干预后血气分析指标,包括动脉氧分压(PaO2)、二氧化碳分压(PaCO2)。结果:观察组护理总满意度高于对照组,差异有统计学意义(P<0.05);观察组入院处置时间、吸氧时间、住院时间均短于对照组,差异均有统计学意义(P<0.05);干预后观察组PaO2、PaCO2均优于对照组,差异均有统计学意义(P<0.05)。结论:对于中华眼镜蛇咬伤致严重呼吸衰竭患者,采取针对性护理干预有助于改善患者血气分析指标,减少患者住院时间,加快患者康复进程,值得临床采纳。Objective:To analyze and study the effective nursing methods on severe respiratory failure caused by Chinese cobra bite.Method:A total of 60 patients with respiratory failure caused by Chinese cobra bite in our hospital from January 2017 to October 2019 were selected,and were randomly divided into the control group (30 cases) and the observation group (30 cases).After treatment,the control group was given routine nursing intervention,while the observation group was given targeted nursing intervention.The treatment time,oxygen inhalation time,hospitalization time and nursing satisfaction were compared between the two groups.Blood gas analysis indicators after intervention were compared between the two groups,including arterial partial oxygen pressure (PaO2) and carbon dioxide partial pressure (PaCO2).Result:The total nursing satisfaction in the observation group was higher than that in the control group,the difference was statistically significant (P<0.05).The treatment time,oxygen intake time and hospital stay time in the observation group were shorter than those in the control group,the differences were statistically significant (P<0.05).After intervention,both PaO2 and PaCO2 in the observation group were better than those in the control group,the differences were statistically significant (P<0.05).Conclusion:For patients with severe respiratory failure caused by Chinese cobra bite,targeted nursing intervention can help to improve the symptoms of patients,reduce the length of hospital stay,and accelerate the recovery process of patients,which is worthy of clinical adoption.

关 键 词：中华眼镜蛇 咬伤 呼吸衰竭 并发症 护理满意度 

分 类 号：R473.6[医药卫生—护理学]