血液灌流治疗急性重度有机磷农药中毒患者护理干预的效果评价

Evaluation of Nursing Interventions for Patients with Acute Severe Organophosphorus Pesticide Poisoning Treated with Hemoperfusion

为探究血液灌流治疗急性重度有机磷农药中毒患者护理干预的效果,随机选择纳雍县人民医院收治的16例急性重度有机磷农药中毒患者开展临床实践研究,入组后,采用双色球法对患者进行分组,8例分到黑球者纳入观察组,8例分到白球者纳入对照组,两组患者均行血液灌流治疗,治疗期间,观察组、对照组分别予以集束化护理、常规护理辅助干预。对比两组患者胆碱酯酶活性恢复时间、并发症发生率及护理疗效。结果显示,胆碱酯酶活性恢复时间比较,观察组(130.29±10.27h)短于对照组(179.54±12.68h)(P<0.05);并发症发生率比较,观察组(0.00%)低于对照组(25.00%)(P<0.05);护理总有效率比较,观察组(100.00%)高于对照组(75.00%)(P<0.05)。研究发现,急性重度有机磷农药中毒患者血液灌流治疗期间配合集束化护理干预,不仅能预防并发症的发生,还能缩短预后周期,值得临床应用和推广。

To explore the effect of hemoperfusion in the treatment of nursing interventions in patients with acute severe organophosphorus pesticide poisoning.A total of 16 patients with acute severe organophosphorus pesticide poisoning admitted to Nayong County People's Hospital were randomly selected for clinical practice research,and after enrollment,the patients were grouped by two-color ball method,8 cases were included in the observation group,8 cases were assigned to white balls into the control group,and the patients in both groups underwent hemoperfusion therapy,and during the treatment,the observation group and the control group were given bundle nursing and routine nursing auxiliary intervention.The recovery time,complication rate and nursing efficacy of cholinesterase activity were compared between the two groups.The results showed that the recovery time of cholinesterase activity was shorter than that of the control group(179.54±12.68)(P<0.05);the observation group(0.00%)was lower than that of the control group(25.00%)(P<0.05);the total effective rate of nursing was higher in the observation group(100.00%)than that in the control group(75.00%)(P<0.05).Studies have found that the combination of cluster nursing intervention during hemoperfusion therapy in patients with acute severe organophosphorus pesticide poisoning can not only prevent complications,but also shorten the prognosis cycle,which is worthy of clinical application and promotion.