院前院内急救一体化配合高压氧在急性CO中毒患者中的应用  

Application of integrated pre-hospital and in-hospital emergency care combined with hyperbaric oxygen in patients with acute CO poisoning

作　　者：张信丽 杨越芬 ZHANG Xinli;YANG Yuefen(Department of Emergency,Linping District,the Second Affiliated Hospital of Zhejiang University School of Medicine,Hangzhou 311100,Zhejiang,China)

机构地区：[1]浙江大学医学院附属第二医院临平院区急诊科,浙江杭州311100

出　　处：《中国现代医生》2023年第27期108-111,共4页China Modern Doctor

摘　　要：目的探究院前院内急救一体化护理配合高压氧治疗在急性一氧化碳(carbon monoxide,CO)中毒患者中应用的意义。方法选取2019年3月至2022年3月在浙江大学医学院附属第二医院临平院区进行治疗的急性CO中毒患者110例,根据治疗方式将患者分为对照组(53例)和研究组(57例)。对照组患者行高压氧联合常规救治,研究组给予患者院前院内急救一体化治疗配合高压氧治疗。比较两组患者的院前院内急救时间、中毒症状消失时间、住院时间、中毒严重度、器官功能损害程度、并发症发生率、焦虑自评量表(self-rating anxiety scale,SAS)、抑郁自评量表(self-rating depression scale,SDS)、生活质量水平评分(物质状态、社会功能、躯体功能)及护理满意度。结果研究组患者的院前急救时间、院内急救时间、首次使用高压氧时间、中毒症状消失时间、住院时间,中毒严重度、器官功能损害程度、SAS评分、SDS评分均低于对照组,差异具有统计学差异(P<0.05);生活质量水平评分(物质状态、社会功能、躯体功能)及护理满意度均高于对照组,差异具有统计学意义(P<0.05);研究组患者的并发症发生率低于对照组,但差异无统计学意义(P>0.05)。结论通过院前院内急救一体化护理配合高压氧治疗可促进急性CO中毒患者的中毒症状、器官功能损害的恢复,且能提高患者的护理满意度。Objective Explore the application significance of integrated pre-hospital and in-hospital emergency care combined with hyperbaric oxygen therapy in patients with acute carbon monoxide(CO)poisoning.Methods 110 patients with acute CO poisoning who were treated at Linping District,the Second Affiliated Hospital of Zhejiang University School of Medicine from March 2019 to March 2022 were selected.According to the treatment method,the patients were divided into control group(53 cases)and study group(57 cases).The patients in control group received hyperbaric oxygen combined with routine treatment,while the patients in study group received integrated pre-hospital and in-hospital emergency care combined with hyperbaric oxygen therapy.Compare the time of pre-hospital and in-hospital emergency care,time of symptom disappearance,length of hospital stay,severity of poisoning,degree of organ function damage,incidence of complications,self rating anxiety scale(SAS),self rating depression scale(SDS),quality of life level scores(material status,social function,physical function),and nursing satisfaction rate between two groups of patients.Results The pre-hospital emergency care time,in-hospital emergency care time,first use of hyperbaric oxygen time,disappearance time of poisoning symptoms,hospitalization time,severity of poisoning,degree of organ function damage,SAS score,SDS score of patients in study group were lower than those in control group,with statistical differences(P<0.05);The scores of quality of life(material status,social function,physical function)and nursing satisfaction in study group were higher than those in control group,with statistical significance(P<0.05).The incidence of complications in study group was lower than that in control group,and the difference was not significant(P>0.05).Conclusion The integrated pre-hospital and in-hospital emergency care combined with hyperbaric oxygen therapy can promote the recovery of poisoning symptoms and organ function damage in patients with acute CO poisoning,and imp

关 键 词：院前院内急救一体化护理 高压氧 急性CO中毒 生活质量 

分 类 号：R472.2[医药卫生—急诊医学]