超声监测下定位定量洗胃技术在急性口服药物中毒患者中的应用效果研究

Application effect of localized quantitative gastric lavage technique under ultrasound monitoring in patients with acute oral drug poisoning

目的 探讨超声监测下定位定量洗胃技术在急性口服药物中毒患者洗胃中的应用效果。方法 纳入2022年1月至2023年2月华中阜外医院急诊抢救室75例急性口服药物中毒的患者为研究对象,随机分为试验组35例,对照组40例。对照组采用传统盲插胃管后洗胃方法,试验组在对照组的基础上增加超声监测技术,对胃管插入位置及深度进行定位,观察洗胃进出液量进行定量洗胃,比较两组患者在洗胃时间、洗胃并发症、洗胃灌洗量等方面的不同效果。结果 男性20例,女性55例,年龄最大77岁,最小14岁,试验组洗胃并发症发生率显著低于对照组(P<0.05),洗胃时间(P=0.024)、灌洗量显著低于对照组(P<0.001),洗胃后抢救室留观时间试验组显著少于对照组(P=0.013)。结论 超声监测下定位定量洗胃技术能缩短急性中毒患者的洗胃时间,有效降低洗胃并发症的发生率,提高洗胃效果,缩短抢救室留观时间,提高急诊患者满意度。

Objective To investigate the effect of positioning and quantitative gastric lavage technique under ultrasonic monitoring in patients with acute oral drug poisoning.Methods A total of 75 patients with acute oral drug poisoning in the emergency room of Huazhong Fuwai Hospital from January 2022 to February 2023 were included in the study,and randomly divided into experimental group(35 cases) and control group(40 cases).The control group used the traditional method(blind insertion of gastric tube after gastric lavage) to determine the amount of lavage before gastric lavage.On the basis of the control group,the experimental group used ultrasonic monitoring to locate the depth of gastric tube insertion,observe the amount of fluid in and out of gastric lavage for quantitative lavage.Compare the different effects of the two groups in the time of gastric lavage,gastric lavage complications,gastric lavage volume and other aspects.Results There were 20 males and 55 females,ranging from 77 years old to 14 years old.In the experimental group the complication rate of gastric lavage was significantly lower than that in the control group(P<0.05).The gastric lavage time(P=0.024) and lavage volume were significantly lower than that in the control group(P<0.001).After gastric lavage the observation time in the emergency room in the experimental group was significantly less than that in the control group(P=0.013).Conclusion Positioning and quantitative gastric lavage technology under ultrasonic monitoring can shorten the time of gastric lavage in acute poisoning patients,effectively reduce the incidence of complications of gastric lavage,improve the effect of gastric lavage,shorten the time of observation in the emergency room,and improve the satisfaction of emergency patients.