综合性护理对百草枯中毒致肺损伤患者的影响

杨秋娜

[摘要]目的 探討综合性护理对百草枯中毒致肺损伤患者的影响。方法 选取2013年1月～2015年12月我院收治的百草枯中毒致肺损伤患者59例的临床资料，依据护理措施不同分为对照组（29例）和综合性护理组（30例）。观察两组患者护理前后肺损伤评分情况及预后情况。结果 两组患者护理前影像学检查[（6.8±2.0）分和（6.9±2.1）分]、呼吸系统顺应性变化[（7.2±2.1），（7.4±2.0）分]、呼吸末正压变化[（7.3±2.3），（7.5±2.4）分]和低氧血症评分[（7.4±2.2）分和（7.5±2.1）分]比较，差异均无统计学意义（P>0.05），护理后两组患者影像学检查为（4.9±1.5）分、（3.4±1.2）分，呼吸系统顺应性变化为（5.0±1.3）分和（3.3±1.2）分，呼吸末正压变化为（5.1±1.4）分和（3.2±1.0）分，低氧血症评分为（4.8±1.3）分和（3.0±1.1）分，均低于护理前，综合性护理组患者护理后影像学检查、呼吸系统顺应性变化、呼吸末正压变化和低氧血症评分均低于对照组，综合性护理组百草枯中毒致肺损伤患者住院时间[（8.2±1.8）d]、消化道出血（10.0%）、肾脏损伤（3.3%）、感染（0）、死亡率（10.0%）均低于对照组[（12.8±2.0）d、41.4%、17.2%、17.2%、41.4%]，差异均有统计学意义（P<0.05）。结论 综合性护理在百草枯中毒致肺损伤患者中应用，可以提高患者预后水平，降低肺损伤程度，值得临床推广应用。

[关键词]综合性护理；百草枯；中毒；肺损伤；影响

[中图分类号] R563 [文献标识码] A [文章编号] 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.