綜合性護理對百草枯中毒致肺損傷患者的影響

楊秋娜

[摘要]目的 探討綜合性護理對百草枯中毒致肺損傷患者的影響。方法 選取2013年1月～2015年12月我院收治的百草枯中毒致肺損傷患者59例的臨床資料，依據(jù)護理措施不同分為對照組（29例）和綜合性護理組（30例）。觀察兩組患者護理前后肺損傷評分情況及預后情況。結(jié)果 兩組患者護理前影像學檢查[（6.8±2.0）分和（6.9±2.1）分]、呼吸系統(tǒng)順應性變化[（7.2±2.1），（7.4±2.0）分]、呼吸末正壓變化[（7.3±2.3），（7.5±2.4）分]和低氧血癥評分[（7.4±2.2）分和（7.5±2.1）分]比較，差異均無統(tǒng)計學意義（P>0.05），護理后兩組患者影像學檢查為（4.9±1.5）分、（3.4±1.2）分，呼吸系統(tǒng)順應性變化為（5.0±1.3）分和（3.3±1.2）分，呼吸末正壓變化為（5.1±1.4）分和（3.2±1.0）分，低氧血癥評分為（4.8±1.3）分和（3.0±1.1）分，均低于護理前，綜合性護理組患者護理后影像學檢查、呼吸系統(tǒng)順應性變化、呼吸末正壓變化和低氧血癥評分均低于對照組，綜合性護理組百草枯中毒致肺損傷患者住院時間[（8.2±1.8）d]、消化道出血（10.0%）、腎臟損傷（3.3%）、感染（0）、死亡率（10.0%）均低于對照組[（12.8±2.0）d、41.4%、17.2%、17.2%、41.4%]，差異均有統(tǒng)計學意義（P<0.05）。結(jié)論 綜合性護理在百草枯中毒致肺損傷患者中應用，可以提高患者預后水平，降低肺損傷程度，值得臨床推廣應用。

[關鍵詞]綜合性護理；百草枯；中毒；肺損傷；影響

[中圖分類號] R563 [文獻標識碼] A [文章編號] 1674-4721（2017）04（a）-0175-04

Effect of comprehensive nursing on lung injury caused by Paraquat poisoning

YANG Qiu-na

Department of Emergency，Xiangya Pingkuang Cooperation Hospital in Jiangxi Province，Pingxiang 337000，China

[Abstract]Objective To investigate the effect of comprehensive nursing on lung injury caused by Paraquat poisoning. Methods The clinical data of 59 patients with lung injury caused by Paraquat poisoning who were treated in our hospital from January 2013 to December 2015 were analyzed.The patients were divided into control group （n=29） and comprehensive nursing group （n=30） according to the different nursing measures.The pre- and post-nursing lung injury score and the prognosis of two groups were observed.Results The pre-nursing imaging examination，respiratory system compliance changes，positive end expiratory pressure changes and hypoxemia scores of two groups were （6.8±2.0） points vs. （6.9±2.1） points，（7.2±2.1） points vs.（7.4±2.0） points，（7.3±2.3） points vs.（7.5±2.4） points and （7.4±2.2） points vs.（7.5±2.1） points，with no significant difference（P>0.05）.The post-nursing imaging examination，respiratory system compliance changes，positive end expiratory pressure changes and hypoxemia scores of two groups were （4.9±1.5） points vs. （3.4±1.2） points，（5.0±1.3） points vs. （3.3±1.2） points，（5.1±1.4） points vs. （3.2±1.0） points and （4.8±1.3） points vs. （3.0±1.1） points，lower than those before nursing，the post-nursing imaging examination，respiratory system compliance changes，positive end expiratory pressure changes and hypoxemia scores of comprehensive nursing group were lower than those of control group.The hospitalization time，gastrointestinal bleeding，kidney damage，infection and mortality rate of comprehensive nursing group were （8.2±1.8） d，10.0%，3.3%， 0 and 10.0%，which were lower than those of control group′s （12.8±2.0） d，41.4%，17.2%，17.2% and 41.4%，with statistically significant difference（P<0.05）.Conclusion Application of comprehensive nursing in patients with lung injury caused by paraquat poisoning can improve the patients′ prognosis and reduce the degree of lung injury，which is worthy of clinical application.