机构地区:[1]泉州市台商投资区医院急诊科,福建泉州362123
出 处:《中国药物滥用防治杂志》2024年第12期2232-2234,共3页Chinese Journal of Drug Abuse Prevention and Treatment
摘 要:目的:探讨在中毒患者急诊治疗中采用电动吸痰机与全自动洗胃机联合疗法对减少患者不良反应的临床价值。方法:选取2020年1月—2022年1月本院急诊科实施常规人工插管洗胃疗法治疗的33例急性中毒患者临床资料设为对照组;然后选取本院急诊科2022年2月—2024年2月期间实施电动吸痰机与全自动洗胃机联合疗法治疗的33例急性中毒患者临床资料设为研究组。比较两组洗胃操作总用时、症状缓解用时、总住院时间、洗胃液胃内残留量、不良反应、并发症、疼痛感[疼痛视觉模拟评分法(VAS)]、舒适度[舒适状况量表(GCQ)]及生活质量[生活质量综合评定问卷(GQOLI-74)]。结果:研究组洗胃操作、症状缓解、住院的时间均短于对照组,且洗胃液残留量少于对照组(P<0.05);研究组治疗相关不良反应发生率、并发症发生率均低于对照组(P<0.05);研究组治疗后第1、3 d,VAS评分均低于对照组,且GCQ与GQOLI-74评分高于对照组(P<0.05)。结论:在急性中毒患者的急诊治疗中,电动吸痰机治疗与全自动洗胃机治疗的联合方案能有效提高治疗质量,缩短患者康复时间,且预防患者不良反应与并发症的发生,对降低患者疼痛度且提高舒适度与生活质量有积极作用。Objective: To explore the clinical value of the combination of electric sputum suction machine and automatic gastric lavage machine in the emergency treatment of poisoning patients to reduce the adverse reactions of patients. Methods: The clinical data of 33 patients with acute poisoning who were treated with conventional artificial intubation and gastric lavage in the emergency department of our hospital from January 2020 to January 2022 were selected as the control group. Then, the clinical data of 33 patients with acute poisoning treated by the combination of electric sputum suction machine and automatic gastric lavage machine in the emergency department of our hospital from February 2022 to February 2024 were selected as the study group. The total time of gastric lavage operation, time of symptom relief, total hospitalization time, gastric residual volume of gastric lavage fluid, adverse reactions, complications,pain [Visual Analogue Scale(VAS)], comfort [General Comfort Questionnaire( GCQ) ] and quality of life [Comprehensive Quality of Life Assessment Questionnaire(GQOLI-74)] were compared between the two groups. Results: The time of gastric lavage operation, symptom relief and hospitalization in the study group were shorter than those in the control group, and the residual amount of gastric lavage fluid was less than that in the control group(P<0.05). The incidence of treatment-related adverse reactions and complications in the study group were lower than those in the control group(P<0.05). On the 1st and 3rd day after treatment, the VAS scores of the study group were lower than those of the control group, and the GCQ and GQOLI-74 scores were higher than those of the control group(P<0.05). Conclusion: In the emergency treatment of patients with acute poisoning, the combination of electric sputum suction machine treatment and automatic gastric lavage machine treatment can effectively improve the quality of treatment, shorten the recovery time of patients, and prevent the occurrence of adverse reactions and
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