急性有机磷农药中毒致呼吸衰竭相关临床护理分析及对策

Study on Clinical Care of Respiratory Failure Induced by Acute Organophosphorus Pesticide Poisoning

目的:探讨急性有机磷中毒致呼吸衰竭的临床护理方法。方法:将患者分为实验组和对照组,对所有患者进行APECHEⅡ评分,测定胆碱酯酶浓度。实验组急性有机磷中毒为中度、重度患者采取纳洛酮预防呼吸衰竭。对照组按常规方式护理。比较两组患者呼吸衰竭发生人数、住院天数、治愈率。结果:发生呼吸衰竭的患者APACHEⅡ评分高于未发生呼吸衰竭的患者。两组中、重度患者比例相似(χ2=0.11;P=0.74)。实验组护理干预后发生呼吸衰竭的比例较对照组降低(χ2=6.59;P=0.01)。实验组治愈率高于对照组(χ2=4.05;P=0.04),且住院天数少于对照组。结论:本研究护理方式能够降低呼吸衰竭发生率,缩短患者住院时间、提高有机磷治疗的治愈率。

Objective：To study the effect of clinical care for the acute respiratory failure caused by or-ganophosphate poisoning.Method： Patients were divided into experimental and control groups, all patients get APECHEⅡscore, concentrations of cholinesterase.Using naloxone protect patients who are suffering se-vere acute organophosphate poisoning in the experimental group.Patients in control group have conventional cares.Compare the incidence of respiratory failure, the duration in hospital, and the cure rate between the two groups.Result：The APACHEⅡscore of patients with respiratory failure is higher than patients without that.There is no difference in distribution of patients （χ2=0.11;P =0.74） .The incidence of respiratory failure of the experimental group is lower than that in control group （χ2=6.59;P =0.01） .The cure rate in experimental group is higher than control group （χ2=4.05;P =0.04） , and the duration in hospital of con-trol group is longer than the other group.Conclusion：This care can reduce the incidence of respiratory fail-ure, short the duration in hospital, improve the cure rate of organic phosphorus.