护理干预对急性重度有机磷农药中毒患者影响.docVIP

护理干预对急性重度有机磷农药中毒患者影响 　　摘要：目的 研究护理干预对急性重度有机磷农药中毒患者的影响。方法 选取我院2013年9月～2014年1月收治60例急性重度有机磷农药中毒患者，根据随机数字表法分为实验组和对照组，每组30例，对照组实施急救配合常规护理；实验组实施急救配合护理干预，比较两组护理效果。结果 实验组住院时间短与对照组，其治愈例多于对照组，并发症实验组少于对照组P0.05，具有统计学意义。结论 实施有效的护理干预可以提高急性重度有机磷农药中毒患者的抢救成功率，减少并发症及死亡率。 　　关键词：护理干预；急性重度有机磷农药中毒 　　Impact of Nursing Intervention in Patients with Acute Severe Organophosphorus Pesticide Poisoning 　　YANG Li 　　（Department of Emergency，The Affiliated Hospital of Career Academy in Sichuan，Chengdu 610100，Sichuan，China） 　　Abstract：Objective To study the impact of nursing intervention in patients with acute severe organophosphorus pesticide poisoning.Methods 60 patients with acute severe organophosphorus pesticide poisoning treated from September 2013 to January 2014 in our hospital were selected and randomly divided into experimental group and control group，30 cases each group.The control group took the first-aid measures associated with conventional nursing；experimental group took the first-aid measures associated with nursing intervention.The nursing efficacy of two groups was compared.Results The hospitalization time of experimental group was shorter than that of control group；compared with control group，experimental group had more cured cases；the complications of experimental group were fewer than those of control group（P0.05）.Conclusion Implement effective nursing interventions can improve acute severe organophosphorus pesticide poisoning survival rate of patients and reduce complications and mortality. 　　Key words：Nursing intervention；Acute severe organophosphorus pesticide poisoning 　　急性重度有机磷农药中毒是急诊科较为常见的一种急危重症，该病起病急且病情发展迅速，可引发多种并发症，严重威胁了患者的生命安全[1]。我科对急性重度有机磷农药中毒患者实施护理干预方法后，各种并发症明显减少，抢救率成功率得到提高，值得推广。 　　1资料与方法 　　1.1一般资料 将我院2013年9月～2014年1月收治60例急性重度有机磷农药中毒患者，分为实验组和对照组，每组各30例，男性患者26例，女性患者34例，平均年龄（45±6.2）岁，患者均为口服有机磷农药中毒，其中服用敌敌畏20例，服用乐果22例，服用甲胺磷18例；有机磷农药的服用剂量为20～145（61.8±23.6）mL，从中毒到医院的就诊时间为25～117（43.6±19.8）min。患者入院时患者多为昏迷状况，呼吸微弱，可闻及刺鼻农药味，双侧瞳孔明显缩小，全身湿冷，肌束震颤，体内胆碱酯酶的活性低于30%。诊断为急性重度有机磷农