综合护理对血液灌流治疗急性重度有机磷中毒患者的效果分析

杨丽华

（延安市人民医院，陕西 延安，716000）

浏览次数：89次 下载次数：290次

摘要：

目的 探讨分析综合护理对血液灌流治疗急性重度有机磷中毒患者的效果。方法 选取我院收治的90例急性重度有机磷中毒患者作为观察对象，将其随机分为观察组（45例）和对照组（45例），分别给予综合护理和常规护理。对比两组患者治疗及并发症发生情况。结果 观察组患者的治愈率为88.89%，显著高于对照组的68.89%（P<0.05）；观察组患者的死亡率为 2.22%，明显低于对照组的17.78%（P<0.05）。经过不同的护理方式后，观察组患者的并发症总发生率为6.67%，明显低于对照组22.22%（P<0.05）。结论 在血液灌流治疗急性重度有机磷中毒患者中使用综合护理效果显著，患者死亡率低，安全性高，值 得广泛应用。

关键词：综合护理；血液灌流；急性重度有机磷中毒

中图分类号：R473.5文献标志码：A文章编号：2096-1413(2017)21-0151-02

Effect of comprehensive nursing on hemoperfusion in patients with severe acute organophosphorus pesticide poisoning
YANG Li-hua
(Yan``an People``s Hospital, Yanan 716000, China)

ABSTRACT: Objective To explore the effect of comprehensive nursing on hemoperfusion in acute severe organophosphorus pesticide poisoning patients. Methods Ninty cases of patients with acute severe organophosphorus pesticide poisoning in our hospital were selected as the research objects, which were randomly divided into observation group (45 cases) and control group (45 cases), and received comprehensive nursing and routine nursing respectively. The treatment effects and complications were compared in the two groups. Results The cure rate was 88.89% in the observation group, which was significantly higher than 68.89% in the control group (P<0.05); the mortality rate in the observation group was 2.22%, which was significantly lower than 17.78% in the control group (P<0.05). After different nursing methods, the overall incidence of complications in the observation group was 6.67%, which was significantly lower than 22.22% in the control group (P<0.05). Conclusion The comprehensive care has remarkable effect on hemoperfusion in patients with acute severe organophosphorus pesticide poisoning, with low mortality, and has high safety, which is worthy of widespread use.

KEYWORDS: comprehensive nursing; hemoperfusion; acute severe organophosphorus pesticide poisoning

参考文献：
[1] 邱爱平.床边血液灌流治疗急性重度有机磷中毒患者的观察及护理[J].世界最新医学信息文摘(电子版),2013,13(15):417-418.
[2] 卜芳艳.1 例血液灌流救治急性重度有机磷农药中毒的临床护理[J].健康导报:医学版,2014,19(11):31.
[3] 蒋慧娟,唐慧娟.血液灌流治疗急性重度有机磷农药中毒患者护理干预的效果评价[J].世界最新医学信息文摘(电子版),2013,13(10):403.


[4] 朱桂芬.血液灌流救治有机磷并阿托品中毒12例的护理[J].中国乡村医药,2013,20(5):77.
[5] 肖太玲.血液灌流串联血液透析治疗急性有机磷中毒的疗效观察及护理对策[J].北京医学,2016,38(7):728-730.
[6] 吴娟颜,薛萍,周翠萍.机械通气联合血液灌流抢救重度有机磷中毒的护理体会[J].东南国防医药,2016,18(4):422-423.
[7] 郭庆如,蒲超,陈梅,等.CVVH 联合血液灌流治疗重度有机磷农药中毒的护理体会[J].四川医学,2014,35(1):134-135.
[8] 施云.1 例血液灌流联合血液滤过治疗有机磷农药中毒患者的护理体会[J].保健医学研究与实践,2015,12(6):93-94.
[9] 肖志文.血液灌流联合血液透析抢救重度有机磷农药中毒护理体会[J].中国中西医结合急救杂志,2013,20(2):114.