重症有机磷农药中毒的急救护理分析

The Emergency and First Aid Care Analysis on Severe Organophosphorus Pesticide Poisoning

目的研究重症有机磷农药中毒的急救治疗和护理措施,为提高有机磷农药中毒抢救成功率提供参考。方法将我院2009年6月至2012年6月收治的72例患者按护理方法不同分为两组,对照组采用常规护理方法,观察组在对照组的基础上加上心理护理、干预和健康指导。对两组患者阿托品中毒发生率、农药中毒反跳率、死亡率及家属对护理满意度进行统计。结果观察组阿托品中毒发生率、农药中毒反跳率低于对照组,差异具有统计学意义(P<0.05),两组死亡率比较差异无统计学意义(P>0.05),观察组的家属对护理满意度明显高于对照组。结论在对有机磷农药中毒患者的抢救过程中,对患者加强心理护理、干预和健康指导可以提高抢救的成功率。

Objective To study first aid treatment and care measures of severe organophosphorus pesticide poisoning in order to provide a reference for improving the survival rate of organophosphorus pesticide poisoning. Methods 72 patients treated in our hospital from June 2009 to June 2012 were divided into two groups according to the different nursing methods. Conventional nursing methods were used in the control group, while psychorogical nursing, intervemion and health guidance were used in the observation group besides the conventional nursing methods. The incidence of atropine poisoning, pesticide poisoning rebound rate, death rate and their family＇s satis- faction at nursing were taken into account in beth groups. Results The indexes in the observation group were significantly lower than those in the control group. The difference was statistically significant （P 〈 0. 05）. The satisfaction at nursing in the families of the obser- vation group was significantly higher than that of the control group. Condusion In the rescue process of patients with organophosphorus pesticide poisoning, strengthening psychological nursing, intervention and health guidance can improve the success rate of rescue.