气管插管后洗胃抢救口服中毒昏迷患者疗效观察

The Observation of the effect of gastric lavage after tracheal intubation on severe patients with oral poisoning Rescue

目的探讨采用气管插管后洗胃抢救口服中毒昏迷患者的临床效果和安全性。方法选择2014年1月-2016年1月四川省广元市中医医院急诊科收治的120例生命体征平稳的口服中毒昏迷患者，根据洗胃方法的不同，随机分成2组，治疗组60例采用保护性气管插管后洗胃，对照组60例采用传统方法洗胃，两组患者洗胃后继续给予解毒等治疗。观察两组洗胃时间、插胃管1次成功率、临床治愈率等临床疗效，以及吸入性肺炎、洗胃中断等不良反应情况，并进行统计学分析。结果治疗组洗胃时间平均为（23．966±2．834）min，对照组洗胃时间平均为（37．833±3．931）min，两组间比较，差异有统计学意义（P〈0．05）；治疗组临床治愈率高于对照组，吸入性肺炎发生率及洗胃中断人数低于对照组，差异均有统计学意义（均P〈0．05）。结论采用气管插管后洗胃能使口服中毒昏迷患者顺利洗胃，减少了吸入性肺炎等并发症的发生，提高了临床治愈率，具有显著的临床疗效。

Objective To explore the use of gastric lavage after tracheal intubation, the clinical efficacy and safety of emergency oral poisoning coma patients.oral poisoning. Methods 120 cases of oral poisoning coma patients with stable vital signs, according to the different methods of gastric lavage, according to the order of admission were randomly divided into 2 groups, 60 cases in treatment group using protective endotracheal intubation gastric lavage, 60 cases in the control group using the traditional method of gastric lavage, two patients after gastric lavage and continue to give comprehensive treatment. Observation of the two groups, the 1 time of gastric lavage intubation success rate, clinical cure rate and clinical efficacy, aspiration pneumonia, gastric tavage interruption and other adverse reactions, and statistical analysis. Results The average time of gastric lavage treatment group （23.966±2.834） min control group, gastric lavage time averaged （37.833 ± 3.931） min, between the two groups, lhe difference was statistically significant （P 〈0.05）; the cure rate of treatment group was higher than the control group, the incidence of aspiration pneumonia and interrupt number is lower than the control group gastric lavage, the differences were with statistical significance （P 〈0.05）. Conclusion The tracheal intubation after gastric lavage can make oral poisoning coma patients successfully reduced gastric lavage, inhalation pneumonia and other complications occurred, improve the clinical cure rate, has significant clinical efficacy.