摘要
目的探讨气管插管在口服农药中毒患者洗胃中的应用及其对洗胃效果的影响。方法选择2015年1月至2020年1月在我院急诊科就诊的80例口服有机磷农药中毒患者,按照洗胃方法的不同分为观察组(40例,气管插管洗胃)和对照组(40例,常规洗胃)。比较两组的各项生命体征、洗胃不良事件发生情况、抢救成功率、意识恢复时间、住院时间、肝肾功能指标和心肌损伤指标。结果洗胃前及洗胃时,观察组的各项生命体征比较,差异无统计学意义(P>0.05);洗胃时,对照组的收缩压、舒张压、心率高于洗胃前,血氧饱和度低于洗胃前(P<0.05)。观察组的洗胃不良事件总发生率低于对照组(P<0.05)。两组的抢救成功率比较,差异无统计学意义(P>0.05)。观察组的意识恢复时间、住院时间均短于对照组(P<0.05)。治疗后,观察组的血清ALT、AST、BUN、Scr、CK-MB、cTnI、cTnT水平均低于对照组(P<0.05)。结论气管插管用于口服农药中毒患者洗胃治疗中,可有效维持洗胃时患者生命体征稳定,降低不良事件发生风险,提高抢救成功率,使患者尽早恢复意识,还可保护肝肾功能和心肌功能。
Objective To investigate the application of endotracheal intubation in gastric lavage for patients with oral pesticide poisoning and its influences on gastric lavage effect.Methods A total of 80 patients with oral organophosphorus pesticide poisoning in the emergency department of our hospital from January 2015 to January 2020 were selected and divided into observation group(40 cases,endotracheal intubation gastric lavage)and control group(40 cases,routine gastric lavage)according to different gastric lavage methods.The vital signs,adverse events of gastric lavage,rescue success rate,consciousness recovery time,hospital stay,liver and kidney function indexes and myocardial injury indexes were compared between the two groups.Results Before and during gastric lavage,there were no significant differences in the vital signs in the observation group(P>0.05);during gastric lavage,the systolic blood pressure,diastolic blood pressure and heart rate in the control group were higher than those before gastric lavage,and the blood oxygen saturation was lower than that before gastric lavage(P<0.05).The total incidence of adverse events of gastric lavage in the observation group was lower than that in the control group(P<0.05).There was no significant difference in the rescue success rate between the two groups(P>0.05).The consciousness recovery time and hospital stay in the observation group were shorter than those in the control group(P<0.05).After treatment,the levels of serum ALT,AST,BUN,Scr,CK-MB,cTnI and cTnT in the observation group were lower than those in the control group(P<0.05).Conclusion Endotracheal intubation is used in gastric lavage treatment for patients with oral pesticide poisoning,which can effectively maintain the patient's vital signs during gastric lavage,reduce the risk of adverse events,improve the rescue success rate,enable patients to regain consciousness as soon as possible,and protect liver and kidney function and myocardial function.
作者
唐晓春
魏岗
TANG Xiaochun;WEI Gang(Emergency Department,Baoji People's Hospital,Baoji 721000,China)
出处
《临床医学研究与实践》
2021年第26期62-64,共3页
Clinical Research and Practice
关键词
急诊科
口服农药中毒
洗胃
气管插管
emergency department
oral pesticide poisoning
gastric lavage
endotracheal intubation
