摘要
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。
Objective To observe the curative effect of hemoperfusion combined with hemodialysis treatment on the patients with a- cute 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 con- trol group was given oxygen, gastric lavage, protecting stomach, maintaining the acid - base and electrolyte balance, antispasmodic, hepato- protective, sedative and other symptomatic treatment, as for observation group, on the basis of the treatment of the control group hemoperfu- sion 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.
出处
《国际护理学杂志》
2013年第4期680-682,共3页
international journal of nursing
关键词
血液灌流
血液透析
毒鼠强
护理
Hemoperfusion
Hemodialysis
Tetramine
Nursing
