急性一氧化碳(CO)中毒患者院前与院内急救及护理要点

Key Points of Pre-hospital and In-hospital First Aid and Nursing for Patients with Acute Carbon Monoxide(CO) Poisoning

目的探讨对急性一氧化碳(CO)中毒患者实施院前与院内急救及护理的临床疗效。方法用随机分配法将该院从2016年10月-2018年10月收治的62例急性CO中毒患者均分为对照组和观察组两组,对照组予以院内急救和护理,观察组实施院前与院内急救及护理,对比两组患者的临床疗效与预后效果。结果对照组患者临床总有效率(70.97%)明显低于观察组(93.55%)(χ^2=5.415,P=0.020),住院治疗、死亡及出现并发症的概率(25.81%、12.90%、19.35%)要比观察组高(6.45%、0.00%、3.23%)(χ^2=4.292、4.276、4.026,P=0.038、0.039、0.045)。结论对急性CO中毒患者实施院前与院内急救及护理可以提高临床有效率,改善患者预后,值得大力推广。

Objective To explore the clinical efficacy of pre-hospital and in-hospital first aid and nursing for patients with acute carbon monoxide(CO) poisoning. Methods Sixty-two patients with acute CO poisoning admitted to the hospital from October 2016 to October 2018 were divided into two groups: the control group and the observation group.The control group received first-aid care and nursing in the hospital. Pre-hospital and in-hospital first-aid and nursing were implemented, and the clinical efficacy and prognosis of the two groups were compared. Results The total clinical effective rate of the control group(70.97%) was significantly lower than that of the observation group(93.55%)(χ^2=5.415, P=0.020), the probability of hospitalization, death, and complications(25.81%, 12.90 %, 19.35%) were higher than the observation group(6.45%, 0.00%, 3.23%)(χ^2=4.292, 4.276, 4.026, P= 0.038, 0.039, 0.045). Conclusion Prehospital and in-hospital first aid and nursing for patients with acute CO poisoning can effectively improve the clinical efficiency and prognosis of patients, which is worthy of vigorous promotion.