摘要
目的 探讨基于应急预案的急救护理结合改良密闭式输液洗胃法在急性口服中毒患者中的应用效果。方法 选取2019年4月至2021年5月我院收治的78例急性口服中毒患者,根据干预方式不同将其分为对照组(39例,常规急救护理结合全自动洗胃机洗胃干预)和观察组(39例,基于应急预案的急救护理结合改良密闭式输液洗胃法干预)。比较两组的干预效果。结果 观察组的洗胃时间、阿托品化时间、胆碱酯酶活性恢复>50%时间、住院时间短于对照组,救治成功率高于对照组(P<0.05)。干预后,观察组的白细胞介素-6(IL-6)、肿瘤坏死因子-α(TNF-α)水平低于对照组(P<0.05)。干预后,观察组的肾上腺素(E)、皮质醇(Cor)水平低于对照组(P<0.05)。结论 基于应急预案的急救护理结合改良密闭式输液洗胃法干预有助于提高急性口服中毒患者的救治效果,减轻炎性反应和心理应激反应,值得推广。
Objective To explore the application effect of emergency nursing based on emergency plan combined with improved closed infusion gastric lavage method in patients with acute oral poisoning. Methods A total of 78 patients with acute oral poisoning admitted in our hospital from April 2019 to May 2021 were selected and divided into control group(39cases, routine emergency nursing combined with automatic gastric lavage machine gastric lavage intervention) and observation group(39 cases, emergency nursing based on emergency plan combined with improved closed infusion gastric lavage method intervention) according to different intervention methods. The intervention effects of the two groups were compared. Results The gastric lavage time, atropine time, cholinesterase activity recovery > 50% time, hospitalization time in the observation group were shorter than those in the control group, and the success rate of treatment was higher than that in the control group(P<0.05). After intervention, the levels of interleukin-6(IL-6) and tumor necrosis factor-α(TNF-α) in the observation group were lower than those in the control group(P<0.05). After intervention, the levels of epinephrine(E) and cortisol(Cor) in the observation group were lower than those in the control group(P<0.05). Conclusion Emergency nursing based on emergency plan combined with improved closed infusion gastric lavage method intervention can improve the treatment effect of patients with acute oral poisoning, reduce inflammatory reaction and psychological stress reaction, which is worthy of promotion.
作者
张燕
白娜
ZHANG Yan;BAI Na(Yan'an University Affiliated Hospital,Yan'an 716000,China)
出处
《临床医学研究与实践》
2023年第2期149-151,共3页
Clinical Research and Practice
关键词
应急预案
急救护理
改良密闭式输液洗胃法
急性口服中毒
emergency plan
emergency nursing
improved closed infusion gastric lavage method
acute oral poisoning
