摘要
目的探讨改良洗胃法在急性中毒患者洗胃中的应用效果。方法将2010年1月-2012年2月收治的口服药物中毒需采用电动洗胃机洗胃的患者分为观察组和对照组,观察组采用改良洗胃法,对照组采用传统的洗胃方法,比较两组患者洗胃总时间、洗胃总液量、一次性插管成功率、堵管发生率及并发症发生率。结果观察组患者洗胃总时间低于对照组[(28.60±6.32)、(34.51±5.37)min],洗胃总液量低于对照组[(10 856±3 818)、(17 962±3 855)mL],差异有统计学意义(P<0.001);一次性插管成功率高于对照组(93.02%、67.44%),差异有统计学意义(P=0.03);堵管发生率为低于对照组(4.88%、27.91%),差异有统计学意义(P=0.03);并发症发生率低于对照组(2.33%、37.21%),差异有统计学意义(P<0.001)。结论改良洗胃法可减少洗胃总时间及洗胃液总量,提高一次性插管的成功率,同时可降低堵管及并发症的发生率。
Objective To investigate the effects of improved gastric lavage for patients of acute poisoning. Methods Eighty-six acute poisoning patients treated between January 2010 and February 2012 who needed gastric lavage were divided into two groups with 43 in the observation group and another 43 in the control group. Randomized grouping method was used. The observation group was treated with improved gastric lavage, while the control group was treated with traditional methods of gastric lavage. Then we compared the difference between the two groups in gastric lavage time, liquid amount, successful rate of onetime intubation, incidence of tube blockage, and incidence of complications. Results The total time of gastric lavage in the observation group was 28.60 ± 6.32 minutes, which was significantly shorter than that in the control group （P 〈 0.001）. The liquid amount of gastric lavage in the observation group was 10856 ± 3818 ml, which was significantly less than that in the control group [（17 962 ± 3 855） mL） （P 〈 0.001）. The successful rate of onetime intubation in the observation group （93.02%） was significantly higher than that in the control group （67.44%） （P=0.03）. The incidence of tube blockage showed a significant difference between the two groups （4.88% in the observation group vs. 27.91% in the control group, P=0.03）. The incidence of complications in the observation group （2.33%） was significantly lower than that in the control group （37.21%） （P 〈 0.001）. Conclusions Compared with traditional method of gastric lavage, the improved gastric lavage can reduce gastric lavage time, liquid amount, the incidence of tube blockage, and the incidence of complications. It can also improve the successful rate of onetime intubation.
出处
《华西医学》
CAS
2013年第5期771-773,共3页
West China Medical Journal
关键词
急性中毒
改良洗胃法
电动洗胃
Acute poisoning
Improved gastric lavage method
Electric gastric lavage
