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血液灌流与血液透析抢救急诊中毒患者的护理体会 被引量:5

Nursing Experience of Emergency Poisoning Patients Treated with Hemoperfusion and Hemodialysis
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摘要 目的探讨血液灌流与血液透析抢救急诊中毒患者临床护理的应用效果。方法选取2019年1月至2020年11月在我院就诊的急诊中毒患者94例,实施常规期间收治的47例急诊中毒患者设为对照组,实施临床护理干预期间收治的47例急诊中毒患者设为观察组。对比两组生命体征、救治效果。结果干预前两组生命体征比较,无统计学差异(P>0.05);观察组干预后血氧饱和度高于对照组,心率低于对照组,有统计学差异(P<0.05)。观察组胆碱酯活性恢复时间、住院时间、昏迷时间均短于对照组,有统计学差异(P<0.05)。观察组干预后并发症发生率低于对照组,差异有统计学意义(P<0.05)。结论临床护理干预可提升血液灌流与血液透析抢救急诊中毒患者的救治效率,维持患者生命体征平稳,从而有利于保障患者预后。 Objective This paper aims to explore the nursing effect of hemoperfusion and hemodialysis for emergency poisoning patients.Methods 94 patients of emergency poisoning from January 2019 to November 2020 were selected,47 cases of emergency poisoning in our hospital were treated as a control group,47 cases of emergency poisoning patients admitted during clinical nursing intervention were treated as an observation group.The vital signs and therapeutic effects of the two groups were compared.Results Before the intervention,there was no significant difference in vital signs between the two groups(P>0.05);after the intervention,the oxygen saturation of the observation group was higher than that of the control group,and the heart rate was lower than that of the control group,with significant difference(P<0.05).The recovery time of cholinesterase activity,hospitalization time and coma time in the observation group were shorter than those in the control group,with statistical difference(P<0.05).The incidence of complications in the observation group was lower than that in the control group,the difference was statistically significant(P<0.05).Conclusion Clinical nursing intervention can improve the treatment efficiency of emergency poisoning patients with hemoperfusion and hemodialysis,maintain stable vital signs,thus protecting the patient’s prognosis.
作者 鲁静琦 LU Jing-qi(Emergency Department,Yingtan City People's Hospital,Yingtan Jiangxi 335000,China)
出处 《透析与人工器官》 2021年第2期70-72,共3页 Chinese Journal of Dialysis and Artificial Organs
关键词 急诊中毒 血液灌流 血液透析 护理 生命体征指标 并发症 emergency poisoning blood perfusion hemodialysis nursing vital signs index complications
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