危机管理渗透式无隙一体化急救模式对急诊有机磷农药中毒患者抢救成功率及预后情况的影响

Effect of crisis management osmotic gapless integrated first aid model on the success rate and prognosis of emergency patients with organophosphorus pesticide poisoning

目的探讨危机管理渗透式无隙一体化急救模式对急诊有机磷农药中毒患者抢救成功率及预后情况的影响。方法选取驻马店市中心医院2020年6月至2020年12月收治的35例有机磷农药中毒患者作为对照组,选取驻马店市中心医院2021年1月至2021年8月收治的35例有机磷农药中毒患者作为观察组。其中对照组的患者采用常规急救护理模式,观察组采用危机管理渗透式无隙一体化急救模式。比较两组患者救治时间、抢救成功率和临床治疗效果。结果观察组急救时间为(8.41±2.21)h,症状消失时间为(63.54±9.49)min,昏迷时间为(12.62±4.68)h,胆碱酯酶恢复时间为(73.10±11.57)min,对照组急救时间为(10.23±2.24)h,症状消失时间为(91.36±10.43)min,昏迷时间为(19.36±5.27)h,胆碱酯酶恢复时间为(95.74±13.58)min,观察组救治时间指标均少于对照组,差异有统计学意义(P<0.05);观察组抢救成功33例,死亡2例,抢救成功率为94.29%,对照组抢救成功27例,死亡8例,抢救成功率为77.14%,差异有统计学意义(P<0.05);观察组治愈19例,有效11例,无效5例,总有效率为85.71%,对照组治愈12例,有效10例,无效13例,总有效率为62.86%,观察组总有效率高于对照组,差异有统计学意义(P<0.05)。结论急性有机磷农药中毒患者应用危机管理渗透式无隙一体化急救模式,缩短救治时间,提高抢救成功率,有效改善患者预后情况,值得临床推广使用。

Objective To investigate the effect of crisis management osmotic gapless integrated first aid model on the success rate and prognosis of emergency patients with organophosphorus pesticide poisoning.Methods Thirty⁃five patients with organophosphorus pesticide poisoning admitted to Zhumadian Central Hospital from June 2020 to December 2020 were selected as the control group,and 35 patients with organophosphorus pesticide poisoning admitted to Zhumadian Central Hospital from January 2021 to August 2021 were selected as the observation group.The control group was given the conven⁃tional emergency care model,and the observation group was given the crisis management osmotic gapless integrated first aid model.The treatment time,rescue success rate and clinical treatment effect were compared between the two groups.Results In the observation group,the first aid time was(8.41±2.21)h,the symptom disappearance time was(63.54±9.49)min,the coma time was(12.62±4.68)h,the cholinesterase recovery time was(73.10±11.57)min;in the control group,the first aid time was(10.23±2.24)h,the symptom disappearance time was(91.36±10.43)min,the coma time was(19.36±5.27)h,the cholinesterase recovery time was(95.74±13.58)min.The treatment time indicators in the observa⁃tion group were less than those in the control group(P<0.05).In the observation group,33 cases were successfully res⁃cued,2 cases died,the rescue success rate was 94.29%;in the control group,27 cases were successfully rescued,8 cases died,the rescue success rate was 77.14%;the rescue success rate in the observation group was higher than that in the con⁃trol group(P<0.05).Conclusion The application of crisis management osmotic gapless integrated first aid model in pa⁃tients with acute organophosphorus pesticide poisoning can shorten the treatment time,improve the success rate of rescue and effectively improve the prognosis of patients.It is worthy of being widely popularized in the clinical application.