Objective: to analyze the effect of first aid treatment with pralidoxime injection on organophosphorus pesticide poisoned patients. Methods: dividing 60 organophosphorus pesticide poisoned patients in our hospital fro...Objective: to analyze the effect of first aid treatment with pralidoxime injection on organophosphorus pesticide poisoned patients. Methods: dividing 60 organophosphorus pesticide poisoned patients in our hospital from February 2017 to April 2021 into research group and control group according to random number table method, 30 cases in each group, and performing routine emergency treatment with pralidoxime injection intervention, performing intravenous drip to patients in control group, performing after-loading intravenous drip to patients in research group, and comparing and analyzing the first aid effect and improvement of myocardial enzyme level between two groups. Results: the resuscitation time and AchE activity recovery time of patients in research group were shorter than those in control group after first aid, and the levels of cTnI and CK were lower than those in control group after first aid, the differences were statistically significant (P < 0.05). Conclusion: on the basis of conventional emergency intervention for organophosphorus pesticide poisoned patients, after-loading pralidoxime injection intravenous infusion can effectively improve emergency treatment effect, and promote recovery of patients' resuscitation and myocardial enzyme level.展开更多
目的:探索基于快速康复的全程化管理联合损害控制外科技术在多发伤患者急救治疗中的应用效果。方法:选取2019年1月—2020年12月昆明医科大学附属红河医院采用传统专科救治模式的41例多发伤患者作为对照组,选取2021年1月—2022年12月本...目的:探索基于快速康复的全程化管理联合损害控制外科技术在多发伤患者急救治疗中的应用效果。方法:选取2019年1月—2020年12月昆明医科大学附属红河医院采用传统专科救治模式的41例多发伤患者作为对照组,选取2021年1月—2022年12月本院采用基于快速康复的全程化管理联合损害控制外科技术的41例多发伤患者作为观察组。比较两组术后治疗情况、术后临床指标、应激反应、并发症发生率。结果:观察组手术时间、现场救治时间、抢救反应时间、预警时间、碱剩余(base excess,BE)恢复时间、凝血指标恢复时间、乳酸恢复时间、体温恢复时间、ICU停留时间以及住院时间短于对照组,出血量少于对照组,血氧饱和度高于对照组,并发症发生率低于对照组,差异有统计学意义(P<0.05);观察组术后24 h急性生理学评分(acute physiological score,APS)及急性生理功能和慢性健康状况评分系统Ⅱ(acute physiology and chronic health evaluation,APACHEⅡ)评分低于对照组,差异有统计学意义(P<0.05)。结论:多发伤患者急救时应用基于快速康复的全程化管理联合损害控制外科技术,可促使临床指标恢复,降低术后并发症发生率,改善预后。展开更多
目的:探讨基于医疗失效模式与效应分析(HFMEA)法的急救流程在凶险性前置胎盘(PPP)救治中的应用效果。方法:选取80例PPP患者为研究对象,根据急救流程不同分为对照组和观察组,每组各40例。对照组患者予以PPP常规流程救治;观察组患者予以基...目的:探讨基于医疗失效模式与效应分析(HFMEA)法的急救流程在凶险性前置胎盘(PPP)救治中的应用效果。方法:选取80例PPP患者为研究对象,根据急救流程不同分为对照组和观察组,每组各40例。对照组患者予以PPP常规流程救治;观察组患者予以基于HFMEA法的急救流程救治。比较两组患者救治流程各环节用时、并发症发生情况及新生儿结局[1 min Apgar评分、新生儿重症监护室(NICU)转入情况]。结果:观察组患者入院至绿色通道启动时间、入院至获取B超报告时间、入院至获取实验室检查结果时间、入院至手术室时间均短于对照组(P<0.05);出血量、输红细胞及血小板量少于对照组(P<0.05);住院时间短于对照组(P<0.05);并发症总发生率低于对照组(P<0.05)。观察组新生儿1min Apgar评分高于对照组(P<0.05),1min Apgar评分≤7分的比例少于对照组(P<0.05)。两组新生儿NICU转入率比较,差异无统计学意义(P>0.05)。结论:对PPP患者实施基于HFMEA法的急救流程可优化流程,缩短各环节用时,提高患者救治效率,改善母婴结局。展开更多
文摘Objective: to analyze the effect of first aid treatment with pralidoxime injection on organophosphorus pesticide poisoned patients. Methods: dividing 60 organophosphorus pesticide poisoned patients in our hospital from February 2017 to April 2021 into research group and control group according to random number table method, 30 cases in each group, and performing routine emergency treatment with pralidoxime injection intervention, performing intravenous drip to patients in control group, performing after-loading intravenous drip to patients in research group, and comparing and analyzing the first aid effect and improvement of myocardial enzyme level between two groups. Results: the resuscitation time and AchE activity recovery time of patients in research group were shorter than those in control group after first aid, and the levels of cTnI and CK were lower than those in control group after first aid, the differences were statistically significant (P < 0.05). Conclusion: on the basis of conventional emergency intervention for organophosphorus pesticide poisoned patients, after-loading pralidoxime injection intravenous infusion can effectively improve emergency treatment effect, and promote recovery of patients' resuscitation and myocardial enzyme level.
文摘目的:探索基于快速康复的全程化管理联合损害控制外科技术在多发伤患者急救治疗中的应用效果。方法:选取2019年1月—2020年12月昆明医科大学附属红河医院采用传统专科救治模式的41例多发伤患者作为对照组,选取2021年1月—2022年12月本院采用基于快速康复的全程化管理联合损害控制外科技术的41例多发伤患者作为观察组。比较两组术后治疗情况、术后临床指标、应激反应、并发症发生率。结果:观察组手术时间、现场救治时间、抢救反应时间、预警时间、碱剩余(base excess,BE)恢复时间、凝血指标恢复时间、乳酸恢复时间、体温恢复时间、ICU停留时间以及住院时间短于对照组,出血量少于对照组,血氧饱和度高于对照组,并发症发生率低于对照组,差异有统计学意义(P<0.05);观察组术后24 h急性生理学评分(acute physiological score,APS)及急性生理功能和慢性健康状况评分系统Ⅱ(acute physiology and chronic health evaluation,APACHEⅡ)评分低于对照组,差异有统计学意义(P<0.05)。结论:多发伤患者急救时应用基于快速康复的全程化管理联合损害控制外科技术,可促使临床指标恢复,降低术后并发症发生率,改善预后。
文摘目的:探讨基于医疗失效模式与效应分析(HFMEA)法的急救流程在凶险性前置胎盘(PPP)救治中的应用效果。方法:选取80例PPP患者为研究对象,根据急救流程不同分为对照组和观察组,每组各40例。对照组患者予以PPP常规流程救治;观察组患者予以基于HFMEA法的急救流程救治。比较两组患者救治流程各环节用时、并发症发生情况及新生儿结局[1 min Apgar评分、新生儿重症监护室(NICU)转入情况]。结果:观察组患者入院至绿色通道启动时间、入院至获取B超报告时间、入院至获取实验室检查结果时间、入院至手术室时间均短于对照组(P<0.05);出血量、输红细胞及血小板量少于对照组(P<0.05);住院时间短于对照组(P<0.05);并发症总发生率低于对照组(P<0.05)。观察组新生儿1min Apgar评分高于对照组(P<0.05),1min Apgar评分≤7分的比例少于对照组(P<0.05)。两组新生儿NICU转入率比较,差异无统计学意义(P>0.05)。结论:对PPP患者实施基于HFMEA法的急救流程可优化流程,缩短各环节用时,提高患者救治效率,改善母婴结局。
