间歇洗胃法救治急性有机磷中毒患者效果观察及护理

目的探讨间歇洗胃方法救治急性有机磷中毒(acute organophosphorus pesticide poisoning,AOPP)患者效果及总结护理要点。方法将66例本院收治的AOPP患者随机分为实验组及对照组各33例。对照组采用传统洗胃方法(即温开水一次性洗胃至洗出胃液无味为止),实验组采用生理盐水间歇洗胃法。比较两组患者阿托品用量、反跳发生率及住院天数。结果两组患者阿托品用量、反跳发生率及住院天数比较,均P<0.05,差异具有统计学意义,实验组优于对照组。结论间歇洗胃方法在AOPP患者救治中能减少阿托品用量,降低患者反跳发生率,缩短患者住院天数。

Objective To study the treatment effect of intermittent gastrolavage in patients with acute organophosphorus pesticide poisoning（AOPP）.Methods Sixty-six patients were divided into the experiment group and the control group.The control group was treated with conventional gastrolavage and the experiment group with intermittent gastrolavage.The atropine dosage,rebound rate,and hospital ization time were compared between the two groups.Results Differences of the atropine dosage,rebound rates,and hospitalization time between the two groups were significant（all P 0.05）.Conclusion Intermittent gastrolavage can reduce the atropine dosage,rebound rate and hospitalization time.