血液灌流联合透析治疗百草枯中毒的临床护理分析

目的分析血液灌流联合透析治疗百草枯中毒的临床疗效及护理干预措施。方法：选择66例百枯草口服中毒患者，分为观察组和对照组各33例，所有患者均常规给予洗胃、导泻及联合应用血液灌流＋透析治疗。对照组给予常规护理，观察组实施综合护理干预。结果：观察组30 d生存率为45．45％，明显高于对照组的21．21％（P〈0．05）；观察组肺纤维化、多脏器功能衰竭发生率均明显低于对照组（P〈0．05）；健康教育、心理疏导、饮食指导、医忠沟通及专业护理方面的评分均明显高于对照组（P〈0．05）。结论．力口强护理干预能提高血液灌流联合透析治疗百枯草中毒患者的生存率，降低并发症。

Objective To analyze hemoperfusion combined with hemodialysis treatment efficacy and nursing interventions paraquat poisoning.Methods： January 2012 - December 2015 period in 66 cases of paraquat poisoning patients were treated in our hospital for the study usingrandomly divided into observation group and control group of 33 patients each, all patients were routinely given gastric lavage, catharsis andcombined hemoperfusion dialysis.The control group received routine care, the implementation of comprehensive nursing intervention in theobservation group.Comparison of the two groups 30d survival, complications, quality of care score.Results： The 30d survival rate of 45.45% wassignificantly higher than 21.21% （P〈0.05）; the observation group pulmonary fibrosis, multiple organ failure incidence was significantly lowerthan the control group （P〈0.05）; health education, psychological counseling, dietary guidance, patient communication and professional care ofthe scores were significantly higher （P 〈0.05） Conclusion： Strengthening nursing intervention can improve hemoperfusion combined withhemodialysis treatment paraquat poisoning patients survival and reduce ,complications.