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间断推压胃脘部抽液改良洗胃法应用于口服中毒患者的效果
引用本文:郭剑虹,许实燕,陈雪华,吴妙桓,邱秀珊.间断推压胃脘部抽液改良洗胃法应用于口服中毒患者的效果[J].中华现代护理杂志,2009,15(21):2008-2010.
作者姓名:郭剑虹  许实燕  陈雪华  吴妙桓  邱秀珊
作者单位:广东省潮州市巾心医院急诊科,521000
基金项目:潮州市科技计划项目(2007S17)并获2008年潮州市科技进步三等奖 
摘    要:目的探讨间断推压胃脘部抽液改良洗胃法的效果,提高洗胃质量。方法将110例口服中毒实施电动洗胃机洗胃的患者随机分为实验组和对照组各55例。实验组采用间断推压胃脘部抽液改良洗胃法,对照组采用传统法。比较两组洗胃质量。结果在洗胃时间和洗胃液总量、洗出液顺畅、误吸、术后1h内呕吐、胃黏膜损伤情况方面,两组比较差异均有统计学意义(P〈0.05)。结论间断推压胃脘部抽液改良洗胃法可更有效地减少洗胃液量、缩短洗胃时间、减轻胃黏膜损伤,并能防止误吸及术后呕吐的发生。

关 键 词:洗胃  中毒  急救  护理

Effect of improved gastric lavage with intermittent pumping liquid at stomarch regions in the patients with oral intoxication
GUO Jian-hong,XU Shi-yan,CHEN Xue-hua,WU Miao-huan,QIU Xiu-shan.Effect of improved gastric lavage with intermittent pumping liquid at stomarch regions in the patients with oral intoxication[J].Chinese Journal of Modern Nursing,2009,15(21):2008-2010.
Authors:GUO Jian-hong  XU Shi-yan  CHEN Xue-hua  WU Miao-huan  QIU Xiu-shan
Institution:. (Emergency Department, Chaozhou Center Hospital, Guangdong Province 521000, China)
Abstract:Objective To study the effect of improved gastric lavage with intermittent pumping liquid at stomarch regions.Methods 110 cases poisoned by intoxication orally were randomly divided into two groups in equal number,that is to say,with an experimental group of 55 cases and a control group of 55 cases.The experimental group was treated with the improved gastric lavage with electrostomach irrigator,and the control group with traditional method.The quality of the stomach lavnging between the two groups were compared.Results In comparison of the two groups,the following differences were significant,that is,in time of lavaging and the vohmn of gastric lavage,smooth aspiration of washing-out liquid,mistakes of absorbing washing-out liquid,vomitus 1 h after lavnge,injury of gastric mucosa (for each of all,P < 0.05).Conclusions The improved gastric lavage with intermittent pumping liquid is more effective in reducing liquid,shortening lavage time,reduing gastric injury of mucous membrane,preventing mis-aspiration and avoiding the vomiting after gastric lavnge operation.
Keywords:Gastric Lavage  Poisoning  First Aid  Nursing Care
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