摘要
目的研究集束化护理在急性有机磷中毒（AOPP）致呼吸衰竭机械通气患者的临床效果，探讨AOPP有效的救治方法。方法回顾性分析68例AOPP患者的临床资料，根据护理手段分为集束化护理组（A组）和常规护理组（B组），以AOPP患者住院病死率、机械通气时间、ICU治疗时间、院内感染率为观察指标，探讨集束化护理对AOPP患者的临床效果。结果A组住院病死率28．13％，明显低于B组52．78％；A组院内感染率12．5％，明显低于B组33．33％；A组机械通气时间（71．88±61．40）h，明显低于B组（147．06±21．83）h；两组比较有统计学意义（P值均〈0．05）。A组ICU治疗时间（16．3±6．24）d，与B组（15．32±7．57）d差异无统计学意义（P〉0．05）。结论集束化护理较常规护理对急性有机磷中毒（AOPP）致呼吸衰竭机械通气患者效果更佳，对改善预后有意义。
Objective To study nursing on acute organophosphate poisoning patients （AOPP） with respiratory failure received mechanical ventilation and explore the effective remedy method. Methods 68 AOPP were analyzed retrospectively and divided into A group （ nursing group） and B group （ routine group）, casefatality rate, time of mechanical ventilation, time of mechanical ventilation treatment in ICU and hospital onset of infection were observed. Results Case-fatality rate （28.13%） and hospital onset of infection （ 12.5% ） in A group were lower than in B group （52.78% , 33.33% ） respectively. There was shorter time of mechanical ventilation in A group than in B （71.88 ± 61.40） h, （ 147.06±21.83 ） h. The time of mechanical ventilation treatment in ICU showed no difference between groups. Conclusions The nursing shows better effectiveness on AOPP with respiratory failure received mechanical ventilation and helps to improve remedy.
出处
《中华现代护理杂志》
2008年第32期3354-3356,共3页
Chinese Journal of Modern Nursing
关键词
有机磷中毒(AOPP)
呼吸衰竭
机械通气
集束化护理
效果评价
Acute organophosphate poisoning patients （AOPP）
Respiratory failure
Mechanical ventilation
Nursing
Evaluation
