摘要
目的分析气管导管引导下插胃管洗胃在有机磷农药中毒急救中的使用价值。方法方便选取2019年5月—2023年6月福建省尤溪县总医院收治的158例有机磷农药中毒患者为研究对象,以随机数表法分为对照组和研究组,每组79例。对照组采取常规洗胃方法,研究组采用气管导管引导下插胃管洗胃。比较两组第1次插管成功率、插管时间、并发症发生情况、胆碱指标恢复时间、中毒症状缓解时间、出现阿托品化时间。结果研究组第1次插管成功率(92.41%)高于对照组(78.48%),差异有统计学意义(χ^(2)=6.157,P=0.013)。研究组插管时间为(93.28±17.62)s短于对照组的(161.27±31.61)s,差异有统计学意义(t=16.699,P<0.001)。研究组并发症发生率低于对照组,差异有统计学意义(χ^(2)=4.788,P=0.029)。研究组胆碱指标恢复时间、中毒症状缓解时间及出现阿托品化时间均低于对照组,差异有统计学意义(P均<0.001)。结论气管导管引导下插胃管洗胃在有机磷农药中毒急救中首次插管成功率较高,插管时间较短,且能够降低并发症风险,有助于促进患者的症状改善。
Objective To analyze the application value of gastric tube lavage guided by tracheal catheter in emergency treatment of organophosphorus pesticide poisoning.Methods A total of 158 patients with organophosphorus pesticide poisoning admitted to Youxi County General Hospital of Fujian Province from May 2019 to June 2023 were conve-niently selected as the study objects,and they were divided into control group and study group by random number table method,with 79 cases in each group.The control group received conventional gastric lavage,and the study group received gastric tube lavage guided by tracheal catheter.The success rate of first intubation,intubation time,complica-tions,choline index recovery time,symptom relief time and atropinization time were compared between the two groups.Results The success rate of first intubation in the study group(92.41%)was higher than that in the control group(78.48%),and the difference was statistically significant(χ^(2)=6.157,P=0.013).The intubation time of the study group was(93.28±17.62)s,which was shorter than that of the control group(161.27±31.61)s,and the difference was statisti-cally significant(t=16.699,P<0.001).The incidence of complications in study group was lower than that in control group,and the difference was statistically significant(χ^(2)=4.788,P=0.029).The recovery time of choline indexes,the remission time of poisoning symptoms and the occurrence time of atropinization in the study group were lower than those in the control group,and the difference was statistically significant(all P<0.001).Conclusion In the first aid of organophosphorus pesticide poisoning,gastric tube lavage guided by tracheal catheter has a higher success rate and shorter intubation time,and can reduce the risk of complications and help to improve the symptoms of patients.
作者
张是善
ZHANG Shishan(Department of Emergency,Youxi County General Hospital,Youxi,Fujian Province,365100 China)
出处
《中外医疗》
2024年第6期49-52,共4页
China & Foreign Medical Treatment
关键词
气管导管
洗胃
有机磷农药中毒
插管成功率
并发症
中毒症状
Tracheal catheter
Gastric lavage
Organophosphorus pesticide poisoning
Success rate of intubation
Complications
Poisoning symptom
