急性一氧化碳中毒院前急救与临床治疗分析

Study on the Pre Hospital Emergency Treatment and Clinical Treatment of Acute Carbon Monoxide Poisoning

目的 分析析急性一氧化碳中毒的院前急救措施和临床治疗措施。方法 选择85例一氧化碳中毒的患者作为研究对象,其中42例由急救中心120送入院的患者视为试验组,送入院过程中行相关院前急救;另43例由家属送入院的患者视为对照组,未实施院前急救,所有患者到院后均采取相关的临床治疗措施,对比两组患者的并发症发生率、死亡发生率以及治疗后的格拉斯哥评分。结果 试验组的并发症发生率为4.76%、死亡发生率为0,对照组的相应值分别为20.93%、9.30%,试验组的并发症发生率、病死率均低于对照组,差异具有统计学意义(P <0.05)。将对照组中4例死亡患者剔除,试验组患者的格拉斯哥评分明显高于对照组,平均清醒时间短于对照组,差异具有统计学意义(P <0.05)。结论 对急性一氧化碳中毒患者实施院前急救并配合相应的临床治疗措施,可以有效防止并发症与死亡情况的发生,并迅速改善患者的意识状态。

Objective To analyze the pre hospital emergency measures and clinical treatment measures of acute carbon monoxide poisoning.Method Eighty-five patients with carbon monoxide poisoning were selected as the study subjects. Among them, 42 patients admitted to the hospital by the emergency center 120 were regarded as the experimental group, and the relevant pre-hospital emergency treatment was performed during the admission process;another 43 patients admitted to the hospital by the family were regarded as the control group. Pre-hospital first aid was not implemented, and all patients received relevant clinical treatment after admission. The complication rate, mortality rate, and Glasgow score after treatment were compared between the two groups. Result The incidence of complications and mortality in the experimental group were 4.76%and 0, and the corresponding values in the control group were 20.93% and 9.30% respectively. The incidence of complications and mortality in the experimental group were lower than those in the control group(P<0.05). The Glasgow score of the experimental group was significantly higher than that of the control group, and the average awake time was shorter than that of the control group(P<0.05).Conclusion It can effectively prevent the occurrence of complications and death, and improve the consciousness of patients.