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目的:探讨重度口服有机磷等中毒患者采用口服补液盐重复洗胃的效果。方法:选取安吉县人民医院符合急性中毒诊断标准、需要洗胃的患者80例,按照随机数字表法分组为对照组与观察组各40例,其中对照组采用清水洗胃;观察组采用口服补液盐洗胃。检测两组患者治疗前、后Na~+、K~+及CL~-水平变化,记录两组患者监护时间及并发症发生情况。结果:治疗后,两组患者Na~+、CL~-、K~+水平较治疗前明显升高,观察组升高程度优于对照组,P<0.05;观察组平均监护时间为(2.8±1.2)d,明显短于对照组(3.9±1.4)d,P<0.05。观察组并发症率15.0%,明显低于对照组40.0%,P<0.05。结论:应用口服补液盐重复洗胃可有利于维持患者水电解质平衡,减少并发症发生,从而促进患者康复,缩短监护时间。
Objective: To investigate the effect of oral rehydration salt repeated gastric lavage in patients with severe oral organophosphate poisoning. Methods: According to the diagnostic criteria of acute poisoning in Anji County People’s Hospital, 80 patients requiring gastric lavage were divided into control group and observation group according to random number table method, 40 cases in each group. The control group was treated with water and gastric lavage. The observation group was treated with oral rehydration Salt lavage. The levels of Na ~ +, K ~ + and CL ~ - in the two groups before and after treatment were measured and the monitoring time and complications of the two groups were recorded. Results: After treatment, the levels of Na ~ +, CL ~ - and K ~ + in both groups were significantly higher than those before treatment, and the improvement in the observation group was better than that in the control group (P <0.05). The mean monitoring time in the observation group was (2.8 ± 1.2) d, significantly shorter than the control group (3.9 ± 1.4) d, P <0.05. The complication rate in observation group was 15.0%, which was significantly lower than that in control group (40.0%, P <0.05). Conclusion: Repeated gastric lavage with oral rehydration salts can be beneficial to maintain the balance of water and electrolyte in patients and reduce the incidence of complications, thus promoting patient rehabilitation and shortening the monitoring time.