东莨菪碱和纳洛酮治疗海水淹溺肺水肿的临床护理

Clinical nursing care of patients with pulmonary edema after seawater drowning treated with scopolamine and naloxone

目的研究东莨菪碱和纳洛酮治疗海水淹溺肺水肿患者并配合临床护理的效果。方法数据取自天津市第四中心医院2018年1月-2022年9月收治的30例海水淹溺肺水肿患者,采用“随机取样法”分为常规组(15例,传统护理)、研讨组(15例,临床护理),比较两组疗效。结果护理前,比较两组血气指标、睡眠质量及生命体征无差异,P>0.05;护理后,研讨组PaO_(2)、pH及SaO_(2)值较常规组更高,PaCO_(2)值、PSQI评分及HR、RR指标更低,P<0.05(具有统计学意义)。结论临床护理用于东莨菪碱和纳洛酮治疗海水淹溺肺水肿患者可改善血气水平、睡眠质量,稳定生命体征,建立和谐护患关系,值得推广。

Objective To investigate the effect of scopolamine and naloxone in the treatment of pulmonary edema after seawater drowning.Methods Data were collected from 30 patients with pulmonary edema after seawater drowning in Tianjin fourth central hospital from January 2018 to September 2022,"Random sampling method"was divided into routine group(15 cases,traditional nursing),study group(15 cases,clinical nursing),the two groups were compared.Results There was no significant difference in blood gas index,sleep quality and vital signs before nursing,P>0.05.After nursing,PaO_(2),pH and SaO_(2) were higher,PaCO_(2) was lower,PSQI was lower in study group than in routine group HR and RR were lower,P<0.05(statistically significant).Conclusion The clinical nursing for the treatment of pulmonary edema after seawater drowning with scopolamine and naloxone can improve blood gas,sleep quality,stabilize vital signs and establish harmonious nurse-patient relationship.