两种催吐法在小儿误服中毒催吐中的效果观察

Observation of effects of two kinds of emetic methods in vomiting in children's accidental poisoning

目的观察一次性吸痰管与压舌板两种催吐法在小儿误服中毒催吐中的应用效果。方法将86例误服中毒需催吐洗胃而无催吐禁忌证的患儿分为对照组和观察组,对照组患儿只选用一种洗胃液,用压舌板常规催吐,观察组患儿可选用两种洗胃液,用一次性吸痰管催吐,同时护士嘴里发出"呃"的模拟呕吐声音诱导并刺激患儿呕吐,观察比较两组的催吐效果。结果两组患儿的配合、咽喉部疼痛、出血、催吐失败重新插管洗胃、有效催吐耗时等方面比较差异均有统计学意义(P<0.05)。结论使用一次性吸痰管催吐法口腔咽喉出血疼痛少,成功率高,耗时短,患儿更易接受,明显优于压舌板催吐法。

Objective To observe the application effect of disposable sputum suction tube and tongue plate pressing in vomiting in children’s accidental poisoning.Methods 86 children who suffered accidental poisoning,needed emetic gastric lavage,and had no contraindications were divided into control group and observation group.The control group were given one kind of gastric lavage juice,and the tongue plate was used to induce vomiting.In the observation group,two kinds of gastric lavage juices were selected,the sputum suction tube was used to induce vomiting,and nurses emitted the analogue vomiting sound of“uh”to induce and stimulate vomiting of children.Emetic effects of the two groups were observed and compared.Results There were statistically significant differences in children’s coordination,pharynx and larynx pain,bleeding,re-intubatton for gastric lavage because of emetic failure and effective vomiting time between the two groups(P<0.05).Conclusion Disposable sputum suction tube has the advantages of less pain in oral and pharynx bleeding,high success rate and short time,and it is more easily accepted by children,which is obviously superior to tongue plate pressing.