气管插管洗胃抢救中毒昏迷患者疗效观察

Effect observation of intubation gastric lavage in the rescue of poisoning coma patient

目的观察经气管插管洗胃用于急性中毒昏迷患者抢救的效果和价值。方法将60例重度口服中毒患者随机分为治疗组和对照组各30例。治疗组采用气管插管洗胃抢救,对照组采用传统方法洗胃。观察2组留置胃管时间、治愈率、并发症及肺部感染情况。结果治疗组留置胃管时间短于对照组,治愈率高于对照组,并发症及肺部感染发生率低于对照组,差异均有统计学意义(P<0.05)。结论经气管插管后洗胃能缩短口服中毒患者留置胃管时间,提高临床抢救成功率,值得临床推广应用。

Objective To observe the clinical effect and value of intubation gastric lavage in the rescue of poisoning coma patients. Methods 60 cases of severe oral poisoning patients were randomly divided into treatment group and control group, each of 30 cases. Treatment group received rescue of intubation gastric lavage, and control group using traditional gastric lavage method. Observed the stomach tube indwelling time,the cure rate, complications and lung infection of 2 groups. Results The stomach tube indwelling time of treatment group was shorter than that of control group, the cure rate of treatment group was higher than that of control group, complications and lung infection incidence rate of treatment group were lower than those of control group,the differences were statistically significant （P 〈 0.05 ）. Conclusion Gastric lavage after endotraeheal intubation can shorten the stomach tube indwelling time of oral poisoning patients, improve the clinical success rate, and worthy of clinical application.