摘要
目的 分析有机磷农药中毒患者采取血液灌流治疗期间配合护理干预的效果。方法 筛选本院于2021年8月-2022年8月期间收治的27例有机磷农药中毒患者为本次研究对象。上述患者均给予血液灌流治疗,并给予护理干预,观察患者的治疗情况,及比较患者护理前后的效果。结果 27例患者经治疗护理后,有25例患者康复出院,占比为92.59%,2例放弃治疗,占比为7.41%。患者护理后血小板、谷丙转氨酶、Na+、K+以及Scr相比较护理前有明显降低(P<0.05)。结论 在有机磷农药中毒患者采取血液灌流治疗期间配合护理干预,可提升患者的治疗效果,减少死亡率,能够促进相关指标的降低。此种方法在临床上值得推广。
关键词: 护理干预;有机磷农药中毒;血液灌流;死亡率;相关指标
Abstract
Objective To analyze the effect of nursing intervention during hemoperfusion therapy in patients with organophosphorus pesticide poisoning. Methods 27 patients with organophosphorus pesticide poisoning admitted to our hospital from August 2021 to August 2022 were selected as the research objects. The above patients were all given hemoperfusion therapy, and nursing intervention was given to observe the treatment conditions of the patients, and compare the effects before and after nursing. Results After treatment and nursing of 27 patients, 25 patients recovered and were discharged from hospital, accounting for 92.59%, and 2 patients gave up treatment, accounting for 7.41%. The platelets, alanine aminotransferase, Na+, K+ and Scr of the patients after nursing were significantly lower than those before nursing (P<0.05). Conclusion Nursing intervention during hemoperfusion treatment for patients with organophosphorus pesticide poisoning can improve the treatment effect of patients, reduce mortality, and promote the reduction of related indicators. This method is worth promoting in clinical practice.
Key words: Nursing intervention; Organophosphorus pesticide poisoning; Blood perfusion; Mortality; Related indicators
参考文献 References
[1] 王青松,李绍磊,李振江.血液灌流对急危重症有机磷中毒患者GCS评分、抢救成功率的影响[J].临床医学研究与实践,2022,7(12):76-78.
[2] 吴建峰,岳俊学,陈香涛.血液灌流联合血液滤过治疗急诊重症有机磷农药中毒的效果[J].保健医学研究与实践,2022,19(04):41-43+66.
[3] 林仁杰.血液灌流治疗急性有机磷农药中毒中间综合征的疗效分析[J].蛇志,2022,34(01):31-33.
[4] 王维玖,赵菊馨,吴金海.血液灌流联合血液透析治疗重度有机磷农药中毒的效果观察[J].中国实用医刊,2022,49(03):61-64.
[5] 陈健辉,杜文超,苏君.杂合式血液净化治疗重症有机磷农药中毒的疗效评价及对患者血清炎性因子的影响[J].中外医疗,2022,41(04):29-32.
[6] 陈昆义.血液灌流联合盐酸戊乙奎醚治疗重症有机磷农药中毒的效果分析[J].现代医学与健康研究电子杂志,2021,5(23):54-56.
[7] 赵文娇,闵军,雷霆,李成.血液透析联合血液灌流治疗急性重症有机磷农药中毒的效果[J].中外医学研究,2021,19(27):136-139.
[8] 李聪,高春旭,李丽丽.血液灌流联合血液透析对急性重症有机磷农药中毒的治疗价值评估[J].当代医学,2021,27(24):34-36.
[9] 许玉红.护理干预在血液灌流联合血液透析治疗急性有机磷农药中毒重度患者中的应用[J].中国实用医药,2019,14(12):168-169.
[10] 周芳.急诊快速绿色通道护理对急性有机磷农药中毒患者救治效果的影响[J].黑龙江医学,2022,46(10):1261-1266.