留置胃十二指肠引流管对急性有机磷农药中毒的护理效果研究

Effects of indwelling drainage tube of stomach and duodenum on the nursing for acute organophosphorus pesticides poisoning

目的:探讨留置胃十二指肠引流管抢救急性有机磷农药中毒(AOPP)的护理研究。方法:选取36例AOPP患者为研究组,在常规洗胃、治疗、护理的基础上,留置胃十二指肠引流管,并给予间断反复洗胃,48￣72h后鼻饲流质饮食。以74例常规治疗护理的AOPP患者为对照组。比较两组患者的阿托品和解磷定用量的差异,不同时间血胆碱酯酶(CHE)活力上升的差异及治愈率和中毒反跳发生率的差异。结果:研究组阿托品和解磷定用量明显少于对照组(P<0.05);不同时间血CHE活力上升明显快于对照组(P<0.05);治愈率明显高于对照组(P<0.05);中毒反跳发生率明显低于对照组(P<0.05)。结论:留置胃十二指肠引流管,能及时有效清除AOPP患者胃肠道内的毒物。

Objective To study the effects of indwelling drainage tube of stomach and duodenum on the nursing for the acute organophosphorus pesticides poisoning （AOPP）. Method 110 cases of AOPP were divided into conventional group in which routine treatment only given, and treatment group, in which routine treatment plus indwelled the drainage tubes of stomach and duodenum. Results The dosage of atropine and pyraldoxime methiodide and the rate of rebound of the treatment group are obviously lower than conventional group （P〈0.05）.The percentage of the patients in the treatment group whose value of cholinesterase （CHE） recovered to average value at the different periods is obviously higher than the conventional group（P〈0.05）.The rate of cure of the treatment group is obviously higher than the conventional group （P〈0.05）. Conclusion The nursing method of indwelling drainage tube of stomach and duodenum can improve treatment effects on the patients of AOPP.