摘要
目的 探讨综合性护理对百草枯中毒致肺损伤患者的肺损伤评分及预后的影响。方法 参照所采取的护理措施将38例百草枯中毒致肺损伤患者随机分为综合护理组和常规护理组,常规护理组给予常规中毒护理,综合护理组在常规护理基础上再给予心理、饮食、呼吸、肝肾功能监测等综合性护理干预,对比分析两组肺损伤评分及预后情况。结果 两组护理后的肺损伤评分均显著低于治疗前（t=-8.054、-3.137,P=0.000、0.003）,且综合护理组护理后的肺损伤评分显著低于常规护理组（t=-3.432,P=0.001）;综合护理组的住院时间显著短于常规护理组（t=-8.389,P=0.000）,综合护理组消化道出血和死亡的发生率显著低于常规护理组（χ2=4.156,P=0.041）。结论 综合性护理可有效减轻百草枯中毒患者的肺损伤程度,缩短住院时间并降低感染等合并症和死亡的发生。
Objective To explore the clinical effects of comprehensive nursing intervention on lung injury score and prognosis in patients with pulmonary injury by paraquat poisoning. Methods 38 patients with pulmonary injury by paraquat poisoning were divided randomly into two groups,the comprehensive care and usual care group. Usual care were paid to all patients, while comprehensivenursing intervention （including psychological, dietary, respiratory, liver and kidney function tests）were paid to the comprehensive care group in addition. The lung injury score and prognosis situation were compared between these two groups. Results The lung injury score in these two groups after therapy were all lower than before （t=-8.054,-3.137,P=0.000,0.003）, while the comprehensive care group was lower than the usual care group（t=-3.432,P=0.001）.The hospitalization time of the comprehensive care group was lower than the usual care group （t=-8.389,P=0.000）, and the incidence of gastrointestinal bleeding and death of the comprehensive care group was lower than the usual care group （X2=4.156,P=0.041）. Conclusion As to the patients with pulmonary injury by paraquat poisoning, comprehensivenursing intervention can effectively reduce the degree of lung injury, shorter hospi- talization time and reduce the incidence of other complications, such as infection and death.
出处
《中国现代医生》
2016年第28期157-160,共4页
China Modern Doctor
基金
浙江省自然科学基金资助项目(LY15H150008)
关键词
综合性护理
肺损伤
百草枯
预后
Comprehensivenursing intervention
Pulmonary injury
Paraquat
Prognosis
