血液灌流联合透析治疗百草枯中毒的临床护理分析.pdfVIP

·132O WORLDCHINESEMEDICINE April．2016，Vo1．11 · 护 理天 地 · 血液灌流联合透析治疗百草枯中毒的临床护理分析 温锐 (中国医科大学附属盛京医院，辽宁沈阳，110004) 摘要： 目的 分析血液灌流联合透析治疗百草枯中毒的临床疗效及护理干预措施。方法：选择66例百枯草 口服中毒患者，分为观察组和对 照组各33例，所有患者均常规给予洗胃、导泻及联合应用血液灌流+透析治疗。对照组给予常规护理，观察组实施综合护理干预。结果：观察 组30d生存率为45．45％，明显高于对照组的21．21％(P0．05)；观察组肺纤维化、多脏器功能衰竭发生率均明显低于对照组 (P0．05)；健康 教育、心理疏导、饮食指导、医忠沟通及专业护理方面的评分均明显高于对照组(P0．05)。结论．力口强护理干预能提高血液灌流联合透析治疗 百枯草中毒患者的生存率，降低并发症。 关键词：血液灌流；血液透析；百草枯中毒；综合护理干预 中图分类号：$884．9+6 文献标识码：B 文章编号：doi：l0．3969／i．issn。1673—7202．2016．05．218 Abstract：Objective Toanalyzehemoperfusioncombinedwithhemodialysistreatmentefficacyandnursinginterventionsparaquatpoisoning． Methods：January2012一December2015periodin66casesofparaquatpoisoningpatientsweretreated inourhospitalforthestudyusing randomlydividedintoobservationgroupandcontrolgroupof33patientseach，allpatientswereroutinelygivengastriclavage，catharsisand combined hemoperfusiondialysis．The controlgroupreceivedroutine care，theimplementation ofcomprehensivenuming intervention in the observationrgoup．Comparisonofthetwogroups30dsurvival，complications，qualityofcarescore．Results：The30dsurvivalrateof45．45％ was significantlyhigherthan21．21％ (PO．05)；theobservationgrouppulmonaryfibrosis，multipleorganfailureincidencewassignificantlylower thant}lecontrolgroup fPO．O5)；healtheducation，psychologicalcounseling，dietary guidance，patientcommunicationandprofessionalcareof thescoresweresignificantlyhigher(P0．05)Conclusion：Strengtheningnursinginterventioncan improvehemoperfusioncombinedwith hemodialysistreatmentparaquatpoisoningpatientssurvivalandreduce,complications． Keywords：hemoperfusion；hemodialysis；paraquat；comprehensivenm~ingintervention 大量研 究显示 ，血液灌流 (hemoperfusion，nP)联合血液透析 1．4观察指标 观察两组患者中毒治疗 30d生存率，比较两组肺纤维化、多 (hemodialysis，HD)能改善百草枯中毒患者的生存率，而优质的护理干预能