国际护理学杂志
國際護理學雜誌
국제호이학잡지
INTERNATIONAL JOURNAL OF NURSING
2013年
4期
680-682
,共3页
血液灌流%血液透析%毒鼠强%护理
血液灌流%血液透析%毒鼠彊%護理
혈액관류%혈액투석%독서강%호리
Hemoperfusion%Hemodialysis%Tetramine%Nursing
目的 观察血液灌流联合血液透析治疗急性毒鼠强(TEM)中毒患者的临床疗效,探讨血液灌流联合血液透析治疗急性毒鼠强中毒患者的护理措施.方法 选取2006年7月至2012年3月在我科住院的25例急性毒鼠强中毒患者为研究对象,将其随机分为观察组12例和对照组13例.对照组给予吸氧、洗胃、护胃、维持酸碱及电解质平衡、解痉、护肝、镇静等对症治疗,观察组在对照组治疗的基础上进行血液灌流联合血液透析治疗,同时配合有效的护理措施.比较两组患者的治疗总有效率、ARDS及MODS发生率、抽搐控制时间、意识恢复时间及治疗前后的血清心肌酶及TEM水平.结果 观察组的总有效率高于对照组,ARDS及MODS发生率低于对照组,抽搐控制时间、意识恢复时间均短于对照组,而血清心肌酶及TEM水平均低于对照组,差异有统计学意义(P＜0.05).结论 血液灌流联合血液透析治疗急性毒鼠强中毒患者临床效果显著,实施有效的护理有利于病情的控制和恢复.
目的 觀察血液灌流聯閤血液透析治療急性毒鼠彊(TEM)中毒患者的臨床療效,探討血液灌流聯閤血液透析治療急性毒鼠彊中毒患者的護理措施.方法 選取2006年7月至2012年3月在我科住院的25例急性毒鼠彊中毒患者為研究對象,將其隨機分為觀察組12例和對照組13例.對照組給予吸氧、洗胃、護胃、維持痠堿及電解質平衡、解痙、護肝、鎮靜等對癥治療,觀察組在對照組治療的基礎上進行血液灌流聯閤血液透析治療,同時配閤有效的護理措施.比較兩組患者的治療總有效率、ARDS及MODS髮生率、抽搐控製時間、意識恢複時間及治療前後的血清心肌酶及TEM水平.結果 觀察組的總有效率高于對照組,ARDS及MODS髮生率低于對照組,抽搐控製時間、意識恢複時間均短于對照組,而血清心肌酶及TEM水平均低于對照組,差異有統計學意義(P＜0.05).結論 血液灌流聯閤血液透析治療急性毒鼠彊中毒患者臨床效果顯著,實施有效的護理有利于病情的控製和恢複.
목적 관찰혈액관류연합혈액투석치료급성독서강(TEM)중독환자적림상료효,탐토혈액관류연합혈액투석치료급성독서강중독환자적호리조시.방법 선취2006년7월지2012년3월재아과주원적25례급성독서강중독환자위연구대상,장기수궤분위관찰조12례화대조조13례.대조조급여흡양、세위、호위、유지산감급전해질평형、해경、호간、진정등대증치료,관찰조재대조조치료적기출상진행혈액관류연합혈액투석치료,동시배합유효적호리조시.비교량조환자적치료총유효솔、ARDS급MODS발생솔、추휵공제시간、의식회복시간급치료전후적혈청심기매급TEM수평.결과 관찰조적총유효솔고우대조조,ARDS급MODS발생솔저우대조조,추휵공제시간、의식회복시간균단우대조조,이혈청심기매급TEM수평균저우대조조,차이유통계학의의(P＜0.05).결론 혈액관류연합혈액투석치료급성독서강중독환자림상효과현저,실시유효적호리유리우병정적공제화회복.
Objective To observe the curative effect of hemoperfusion combined with hemodialysis treatment on the patients with acute tetramine (TEM),explore nursing measures during the treatment.Methods In our hospital from July 2006 to March 2012,25 patients with acute tetramine poisoning were randomly divided into the observation group with 12 cases and the control group with 13 cases.The control group was given oxygen,gastric lavage,protecting stomach,maintaining the acid-base and electrolyte balance,antispasmodic,hepatoprotective,sedative and other symptomatic treatment.as for observation group,on the basis of the treatment of the control group hemoperfusion combined with hemodialysis treatment was adopted conjunction with effective interventions.After the treatment two groups of patients with total efficiency,ARDS and MODS incidence,convulsions control time,consciousness recovery time before and after treatment,serum enzyme and TEM level were compared.Results Compared with the control group,the total efficiency of observation group was higher,ARDS and MODS incidence were lower,the convulsions control time,consciousness recovery time is shorter,serum enzyme and TEM were lower (P ＜ 0.05).Conclusions Hemoperfusion combined with hemodialysis treatment on the patients with acute tetramine poisoning has significant clinical effects,the implementation of effective nursing care is conducive to controlling disease and recovery.
