摘要
目的 探讨院前—院内无缝衔接急救模式对急性有机磷中毒患者急救效果的影响。方法 回顾性选取2018年5月至2023年9月郑州大学第一附属医院收治的92例急性有机磷中毒患者纳入研究,按照入院时间不同分组,其中2018年5月至2021年1月就诊的46例患者纳入常规急救组,采用传统救护模式;2021年2月至2023年9月就诊的46例患者纳入无缝衔接急救组,采用院前—院内无缝衔接急救模式,比较两组患者的急救效率、急救成功率、病情康复情况、并发症发生率和家属护理满意度。结果 无缝衔接急救组患者的接诊时间、抢救室抢救时间、留观时间、特异性解毒药使用时间分别为(4.35±0.85) min、(16.39±3.45) min、(17.96±3.27) h、(13.22±2.63) min,明显短于常规急救组的(8.32±1.48) min、(25.11±4.08) min、(23.58±4.49) h、(20.07±4.15) min,差异均有统计学意义(P<0.05);无缝衔接急救组患者的救治成功率为97.83%,明显高于常规急救组的82.61%,差异有统计学意义(P<0.05);无缝衔接急救组患者的毒蕈碱样、烟碱样、中枢神经样中毒症状消失时间、胆碱酯酶恢复时间、意识恢复时间、住院时间分别为(17.56±2.58) h、(3.33±1.17) d、(5.38±2.13) d、(76.62±10.62) min、(13.67±2.32) h、(7.86±1.68) d,明显短于常规急救组的(22.62±3.13) h、(4.88±1.36) d、(7.26±2.45) d、(97.56±13.42) min、(18.46±2.59) h、(9.87±2.14) d,差异均有统计学意义(P<0.05);无缝衔接急救组患者的并发症发生率为6.52%,明显低于常规急救组23.91%,而护理满意度调查问卷得分为(37.50±1.22)分,明显高于常规急救组的(34.18±1.49)分,差异均有统计学意义(P<0.05)。结论 院前—院内无缝衔接急救模式可缩短急性有机磷中毒患者抢救时间,提升救治效率和救治效果,减少并发症发生,提升家属对护理满意度。
Objective To explore the emergency effect of seamless pre-hospital to in-hospital emergency care mode for patients with acute organophosphate poisoning.Methods A retrospective study was conducted on 92 patients with acute organophosphate poisoning admitted to the First Affiliated Hospital of Zhengzhou University from May 2018 to September 2023.The patients were divided into two groups according to their admission time.The 46 patients who ad-mitted to the hospital from May 2018 to January 2021 were included in the routine emergency group and received tradi-tional emergency care.The other 46 patients who visited the hospital from February 2021 to September 2023 were in-cluded in the seamless emergency group and received seamless pre-hospital to in-hospital emergency care.The emergen-cy efficiency,success rate of emergency,recovery status,incidence of complications,and family care satisfaction were compared between the two groups.Results The consultation time,rescue time in rescue room,observation time,and spe-cific antidote administration time for patients in the seamless emergency group were(4.35±0.85)min,(16.39±3.45)min,(17.96±3.27)h,and(13.22±2.63)min,respectively,which were significantly shorter than(8.32±1.48)min,(25.11±4.08)min,(23.58±4.49)h,and(20.07±4.15)min in the conventional emergency group(P<0.05).The rescue success rate of patients in the seamless emergency group was 97.83%,which was significantly higher than 82.61%in the convention-al emergency group(P<0.05).The disappearance time,cholinesterase recovery time,consciousness recovery time,and the hospitalization time of muscarinic,nicotinic,and central nervous system like poisoning symptoms for patients in the seam-less emergency group were(17.56±2.58)h,(3.33±1.17)d,(5.38±2.13)d,(76.62±10.62)min,(13.67±2.32)h,and(7.86±1.68)d,respectively,significantly shorter than(22.62±3.13)h,(4.88±1.36)d,(7.26±2.45)d,(97.56±13.42)min,(18.46±2.59)h,and(9.87±2.14)d in the conventional emergency group(P<0.05).The incidence of complications in the seam-less emergency group was 6.52%,significantly lower than 23.91%in the conventional emergency group(P<0.05).The score of the nursing satisfaction survey in the seamless emergency group was(37.50±1.22)points,which was significant-ly higher than(34.18±1.49)points in the conventional emergency group(P<0.05).Conclusion The seamless pre-hospi-tal to in-hospital emergency care mode can shorten the rescue time for patients with acute organophosphate poisoning,improve the efficiency and effectiveness of treatment,reduce the occurrence of complications,and enhance the satisfac-tion of family members with nursing care.
作者
楚萌
李玫玉
赵亚缇
张明科
樊文蕊
CHU Meng;LI Mei-yu;ZHAO Ya-ti;ZHANG Ming-ke;FAN Wen-rui(Department of Emergency Medicine,the First Affiliated Hospital of Zhengzhou University,Zhengzhou 450000,Henan,CHINA)
出处
《海南医学》
2025年第16期2412-2417,共6页
Hainan Medical Journal
基金
2021年度河南省医学科技攻关计划联合共建项目(编号:LHGJ20212303)。
关键词
急性有机磷中毒
院前—院内无缝衔接急救模式
急救效果
Acute organophosphate poisoning
Seamless pre-hospital to in-hospital emergency care mode
Emer-gency effect
