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損傷患者的影響。方法 選取2013年1月~2015年12月我院收治的百草枯中毒致肺損傷患者59例的臨床資料,依據(jù)護理措施不同分為對照組(29例)和綜合性護理組(30例)。觀察兩組患者護理前后肺損傷評分情況及預(yù)后情況。結(jié)果 兩組患者護理前影像學(xué)檢查[(177。)分和(177。)分]、呼吸系統(tǒng)順應(yīng)性變化[(177。),(177。)分]、呼吸末正壓變化[(177。),(177。)分]和低氧血癥評分[(177。)分和(177。)分]比較,差異均無統(tǒng)計學(xué)意義(P),護理后兩組患者影像學(xué)檢查為(177。)分、(177。)分,呼吸系統(tǒng)順應(yīng)性變化為(177。)分和(177。)分,呼吸末正壓變化為(177。)分和(177。)分,低氧血癥評分為(177。)分和(177。)分,均低于護理前,綜合性護理組患者護理后影像學(xué)檢查、呼吸系統(tǒng)順應(yīng)性變化、呼吸末正壓變化和低氧血癥評分均低于對照組,綜合性護理組百草枯中毒致肺損傷患者住院時間[(177。)d]、消化道出血(%)、腎臟損傷(%)、感染(0)、死亡率(%)均低于對照組([177。)d、%、%、%、%],差異均有統(tǒng)計學(xué)意義(P[關(guān)鍵詞]綜合性護理;百草枯;中毒;肺損傷;影響[中圖分類號] R563 [文獻標(biāo)識碼] A [文章編號] 16744721(2017)04(a)017504Effect of prehensive nursing on lung injury caused by Paraquat poisoningYANG QiunaDepartment of Emergency,Xiangya Pingkuang Cooperation Hospital in Jiangxi Province,Pingxiang 337000,China[Abstract]Objective To investigate the effect of prehensive nursing on lung injury caused by Paraquat 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 patients were divided into control group(n=29)and prehensive nursing group(n=30)according to the different nursing preand postnursing lung injury score and the prognosis of two groups were The prenursing imaging examination,respiratory system pliance changes,positive end expiratory pressure changes and hypoxemia scores of two groups were(177。)points vs.(177。)points,(177。)points vs.(177。)points,(177。)points vs.(177。)points and(177。)points vs.(177。)points,with no significant difference(P).The postnursing imaging examination,respiratory system pliance changes,positive end expiratory pressure changes and hypoxemia scores of two groups were(177。)points vs.(177。)points,(177。)points vs.(177。)points,(177。)points vs.(177。)points and(177。)points vs.(177。)points,lower than those before nursing,the postnursing imaging examination,respiratory system pliance changes,positive end expiratory pressure changes and hypoxemia scores of prehensive nursing group were lower than those of control hospitalization time,gastrointestinal bleeding,kidney damage,infection and mortality rate of prehensive nursing group were(177。)d,%,%,0 and %,which were lower than those of control group′s(177。)d,%,%,% and %,with statistically significant difference(P[Key words]Comprehensive nursing care;Paraquat;Poisoning;Lung injury;Influence目前針對百草枯沒有特效的解毒劑,其中毒后,會對人體或者動物產(chǎn)生較強的毒性,經(jīng)過呼吸道、消化道、皮膚等多個途徑進入到人體內(nèi),其預(yù)后效果極差,死亡率達到90%以上[12