百草枯肺纤维化 综合性护理对百草枯中毒致肺损害患者的影响

杨秋娜

[摘要]意图 探討综合性护理对百草枯中毒致肺损害患者的影响。办法 选取2013年1月～2015年12月我院收治的百草枯中毒致肺损害患者59例的临床材料，根据护理办法不同分为对照组（29例）和综合性护理组（30例）。调查两组患者护理前后肺损害评分状况及预后状况。成果 两组患者护理前印象学查看[（6.8±2.0）分和（6.9±2.1）分]、呼吸系统顺应性改变[（7.2±2.1），（7.4±2.0）分]、呼吸末正压改变[（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，差异均无统计学含义（P>0.05），护理后两组患者印象学查看为（4.9±1.5）分、（3.4±1.2）分，呼吸系统顺应性改变为（5.0±1.3）分和（3.3±1.2）分，呼吸末正压改变为（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印象学查看、呼吸系统顺应性改变、呼吸末正压改变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害患者住院时刻[（8.2±1.8）d]、消化道出血（10.0%）、肾脏损害（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%]，差异均有统计学含义（P<0.05）。定论 综合性护理在百草枯中毒致肺损害患者中使用，能够进步患者预后水平，下降肺损害程度，值得临床推广使用。

[关键词]综合性护理；百草枯；中毒；肺损害；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.