Effect of predictable aid support on the prognosis of patients with tracheal intubation for severe acute organophosphorus pesticide poisoning
10.3760/cma.j.issn.1674-2907.2013.28.001
- VernacularTitle:预见性救护支持对重度有机磷农药中毒气管插管患者预后的影响
- Author:
Fang ZHAO
1
;
Zhi-Ling LI
;
De-Hua LIAN
;
Qin-Ju TIAN
;
Li-Ping SONG
Author Information
1. 277500,山东省滕州市中心人民医院重症监护室
- Keywords:
Organophosphorus pesticide poisoning;
Tracheal intubation;
Aid support;
Prognosis
- From:
Chinese Journal of Modern Nursing
2013;19(28):3445-3449
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the effect of predictable aid support on the prognosis of patients with tracheal intubation for severe acute organophosphorus pesticide poisoning (SAOPP).Methods One hundred and nine patients with tracheal intubation for SAOPP were randomly divided into the treatment group (n =55)and control group (n =54).All patients in control group were treated with the gastric lavage and catharsis,accepted atropine and pralidoxime chloride and ventilatory support as prescribed.More predictability ambulance measures were applied to the treatment group such as reinforcement tracheal intubation,endotracheal intubation tube off alarm device and joint of thermostatic wetting with oxygen driving atomization.The therapy efficacy was compared between the two groups.Results Before treatment,breathing,heart rate,oxygen saturation and blood gas indexes had no differences (P ＞0.05) between the two groups.After a-72 h-treatment,the treatment group had significant differences on the above indicators compared with those of the control group (t =14.414,10.037,10.199,11.139,13.604,9.772,respectively; P ＜ 0.05).The duration of mechanical ventilation,tracheal intubation,monitoring and hospitalization were respectively (25.63 ± 3.24) h,(32.17 ± 3.50) h,(5.65 ±1.63) d,(8.52 ±2.13) d in the treatment group,and (37.82 ±3.75) h,(43.64 ±3.83) h,(9.78 ± 1.85) d,(13.79 ± 2.17) d in the control group,and the differences were statistically significant (t =18.170,16.326,12.372,12.795,respectively; P ＜ 0.05).The unplanned extubation and incidence of complication was 7.27％ in the treatment group,and 29.63％ in the control group,and the difference was statistically significant (x2 =9.090,P ＜ 0.05).The rescue success rate was 96.36％ in the treatment group,and 29.63％ in the control group,and the difference was statistically significant (x2 =5.099,P ＜ 0.05).Condusions The predictable aid support in endotracheal intubation can increase the success rate,enhance the efficacy,reduce complications and improve prognosis of SAOPP patients.
