心理干预在重症有机磷农药中毒患者气管插管下洗胃的临床疗效分析

Clinical analysis of emergency treatment of gastric lavage in patients with severe organophosphorus pesticide poisoning and psychological intervention after operation

目的探讨气管插管下洗胃对重症有机磷农药中毒患者的急救效果及心理干预的价值。方法选择重症有机磷农药中毒患者80例，均行气管插管下洗胃，并随机分组，就常规护理（对照组，40例）与加强心理干预（观察组，40例）效果展开对比。结果观察组胆碱脂酶活性恢复至正常时间、住院天数均少于对照组，医护依从率高于对照组，心理改善优于对照组，差异均具有统计学意义（P<0.05）。结论急诊重症有机磷农药中毒患者在气管插管下洗胃急救同时，行心理干预，可明显缩短病程、改善预后。

Objective To investigate the effect of gastric lavage under endotracheal intubation on first aid of severe organophosphoruspesticide poisoning patients and the value of psychological intervention.Methods80cases of patients with severe organophosphorus pesticidepoisoning,underwent intubation gastric lavage,and randomly divided into conventional nursing(control group,n=40)and psychological intervention(observation group,n=40)contrast effect.Results The cholinesterase activity returned to normal time and hospitalization days in the observationgroup was less than that in the control group,and the compliance rate of the doctors and nurses was higher than that of the control group,and thepsychological improvement was better than that of the control group,with statistical difference(P<0.05).Conclusion Emergency treatment ofgastric lavage with endotracheal intubation in emergency organophosphorus pesticide poisoning patients at the same time,psychological interventioncan significantly shorten the course of disease and improve prognosis.