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目的:探讨绿色通道护理联合抢救案例分享在百草枯中毒患者中的应用效果。方法:选择2010年1月至2012年12月院内绿色通道常规治疗百草枯中毒患者72例作为对照组,2013年1月至2015年12月院内绿色通道联合抢救案例分享治疗百草枯中毒患者89例作为实验组。对比两组患者首次治疗的时间(催吐或洗胃、漂白土灌入、血液灌流、激素静脉输注)、多器官功能障碍综合征(MODs)的发生率、死亡率、住院时间。结果:实验组患者的首次催吐或洗胃时间和首次激素静脉输注时间短于对照组,差异具有统计学意义(P<0.05);实验组患者的多器官功能障碍综合征发生率为15.7%,低于对照组的31.9%,差异具有统计学意义(P<0.05);实验组的住院时间为(20.7±8.2)d,低于对照组的(29.4±11.6)d,差异具有统计学意义(P<0.01);两组患者的死亡率之间的差异无统计学意义(P>0.05);实验组患者的满意度得分以及满意度高于对照组,差异具有统计学意义。结论:绿色通道护理联合抢救案例分享缩短了百草枯患者开始治疗的时间,降低了多器官功能障碍综合征发生率,缩短了住院时间。
Objective: To explore the application effect of green channel nursing joint rescue case sharing in paraquat poisoning patients. Methods: From January 2010 to December 2012, 72 cases of paraquat poisoning were routinely treated in the hospital green channel as a control group. From January 2013 to December 2015, cases of paraquat poisoning were treated in the hospital by green channel joint rescue. As experimental group. The time of the first treatment (emetic or gastric lavage, bleaching earth infusion, hemoperfusion, hormone intravenous infusion), the incidence of multiple organ dysfunction syndrome (MODs), mortality and hospital stay were compared between the two groups. Results: The first emetic or gastric lavage time and the first intravenous hormone infusion time in the experimental group were shorter than those in the control group (P <0.05). The incidence of multiple organ dysfunction syndrome in the experimental group was 15.7% , Which was lower than that of the control group (31.9%) (P <0.05). The length of stay in the experimental group was (20.7 ± 8.2) days, which was lower than that in the control group (29.4 ± 11.6) days, the difference was statistically significant (P <0.01). There was no significant difference in mortality between the two groups (P> 0.05). The scores of satisfaction and satisfaction of the patients in the experimental group were higher than those in the control group, the difference was statistically significant. Conclusion: The case-sharing of green channel nursing can shorten the time to start treatment of paraquat, reduce the incidence of multiple organ dysfunction syndrome and shorten the length of hospital stay.