改良一次性胃管在急性口服中毒患者中应用效果.docVIP

改良一次性胃管在急性口服中毒患者中应用效果 　　[摘要]目的 分析改良一次性胃管在急性口服中毒患者临床治疗中的应用效果。方法 选取我院2014年7月～2017年6月收治的74例急性口服中毒患者作为研究对象，应用摸球法随机分为试验组（蓝球组）和对照组（红球组），每组35例。对照组患者采用常规胃管进行插管，试验组患者采用改良一次性胃管?M行插管，比较两组患者的一次性插管成功率，根据观察指标评价两组患者的临床疗效。结果 试验组患者的一次性插管成功率（97.30%）高于对照组（81.08%），差异有统计学意义（P0.05）。实验组的洗胃时间短于对照组，差异有统计学意义（P0.05）。试验组的阿托品化时间、胆碱酯酶恢复正常时间均早于对照组，差异有统计学意义（P0.05）。试验组的并发症发生率为5.41%，低于对照组的21.62%，差异有统计学意义（P0.05）。结论 改良一次性胃管在急性口服中毒患者临床治疗中应用，能够提高患者抢救效率，减少插管并发症的发生。 　　[关键词]改良一次性胃管；急性口服中毒；胆碱酯酶；阿托品化 　　[中图分类号] R472 [文献标识码] A [文章编号] 1674-4721（2017）12（a）-0031-03 　　[Abstract]Objective To analyze the application effect of modified disposable gastric tube in patients with acute oral poisoning.Methods From July 2014 to June 2017，74 acute oral poisoning patients admitted to our hospital were selected and evenly divided into the experimental group （blue balls） andb the control group （red balls） by randomly grasping balls.In the control group，conventional gastric tube was used for intubation，while in the experimental group，modified disposable gastric tube was adopted.The success rate of one-time intubation was compared between the two groups.The clinical efficacy by observing relevant indicators was also compared.Results The success rate of one-time intubation was 97.30% in the experimental group，which was higher than that in the control group accounting for 81.08%，the difference was statistically significant（P0.05）.The time of gastric lavage in the experimental group was shorter than that in control group，the difference was statistically significant（P0.05）.The time of atropinization and normal recovery of cholinesterase in the experimental group were earlier than those in the control group，the difference was statistically significant（P0.05）.The incidence of complications （5.41%） in the experimental group was lower than that in control group （21.62%），the difference was statistically significant （P0.05）.Conclusion The application of modified disposable gastric tube in the clinical treatment of acute oral poisonin