56例小龙虾致横纹肌溶解症患者的急救护理

Clinical nursing of 56 patients with rhabdomyolysis caused by crayfish

目的探讨并总结因进食小龙虾致横纹肌溶解症患者的急救护理方法。方法通过回顾性分析2018年7月1日—2018年8月31日收治的56例食用小龙虾致横纹肌溶解症患者的临床资料,从临床症状和实验室检查结果分析总结有效的急救护理措施。结果56例食用小龙虾致横纹肌溶解症的患者通过有效的治疗、护理,48~72 h后肌肉酸痛症状消失,72~96 h后尿色正常,实验室检查肌酸激酶(CK)、肌红蛋白(MB)、乳酸脱氢酶(LDH)、谷草转氨酶(AST)快速下降,与出院前比较差异有统计学意义(P<0.05);无1例患者发生肾功能损害,3个月随访健康状态良好。结论实施有针对性的、规范化的护理可提高小龙虾致横纹肌溶解症患者的急救治愈率,预后良好。

Objective To explore and summarize the emergency nursing interventions for patients with rhabdomyolysis caused by eating crayfish.Methods Clinical data of 56 patients with rhabdomyolysis caused by eating crayfish from July 1,2018 to August 31,2018 were retrospectively analyzed,and effective emergency nursing interventions were analyzed and summarized according to the improvement of clinical symptoms and laboratory examination results.Results Through effective treatment and nursing,muscle pain disappeared after 48~72 h among 56 patients with rhabdomyolysis caused by eating crayfish;urine colors of all the patients returned to normal after 72~96 h;Values of laboratory tests including creatine kinase(CK),myoglobin(MB),lactate dehydrogenase(LDH),aspartate aminotransferase(AST)fell fast,the differences were statistically significant(P<0.05)compared with the results before discharge;None of the patients experienced renal function impairment,and they were in good health during 3-month follow-up.Conclusion⁃Targeted and standardized nursing intervention can improve the first aid cure rate and prognosis of patients with rhabdomyolysis result from eating crayfish.