楊秋娜

[摘要]目的 探討綜合性護(hù)理對(duì)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(hù)理措施不同分為對(duì)照組（29例）和綜合性護(hù)理組（30例）。觀察兩組患者護(hù)理前后肺損傷評(píng)分情況及預(yù)后情況。結(jié)果 兩組患者護(hù)理前影像學(xué)檢查[（6.8±2.0）分和（6.9±2.1）分]、呼吸系統(tǒng)順應(yīng)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(píng)分[（7.4±2.2）分和（7.5±2.1）分]比較，差異均無(wú)統(tǒng)計(jì)學(xué)意義（P>0.05），護(hù)理后兩組患者影像學(xué)檢查為（4.9±1.5）分、（3.4±1.2）分，呼吸系統(tǒng)順應(yīng)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(píng)分為（4.8±1.3）分和（3.0±1.1）分，均低于護(hù)理前，綜合性護(hù)理組患者護(hù)理后影像學(xué)檢查、呼吸系統(tǒng)順應(yīng)性變化、呼吸末正壓變化和低氧血癥評(píng)分均低于對(duì)照組，綜合性護(hù)理組百草枯中毒致肺損傷患者住院時(shí)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(duì)照組[（12.8±2.0）d、41.4%、17.2%、17.2%、41.4%]，差異均有統(tǒng)計(jì)學(xué)意義（P<0.05）。結(jié)論 綜合性護(hù)理在百草枯中毒致肺損傷患者中應(yīng)用，可以提高患者預(yù)后水平，降低肺損傷程度，值得臨床推廣應(yīng)用。

[關(guān)鍵詞]綜合性護(hù)理；百草枯；中毒；肺損傷；影響

[中圖分類號(hào)] R563 [文獻(xiàn)標(biāo)識(shí)碼] A [文章編號(hào)] 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.