孙慧文

[摘要] 目的 探讨高压氧治疗急性一氧化碳中毒临床护理干预。 方法 本次共选择38例急性一氧化碳中毒患者作研究对象，均为我院2013年1月~2014年1月收治，均采用高压氧治疗，加强整体、全面的护理干预。 结果 本组选取的38例患者中总有效率94.7%，无严重不良事件发生。与干预前比较，干预的生活质量各项指标明显提高（P＜0.05）。 结论 加强急性一氧化碳中毒患者高压氧治疗中的整体护理干预，可保障治疗成功实施，利于临床效果的改善，并提高患者生存质量，具有较高的应用价值，值得广泛推广。

[关键词] 急性一氧化碳中毒；高压氧；护理干预

[中图分类号] R473.5   [文献标识码] B   [文章编号] 2095-0616（2014）08-109-03

Nursing intervention of hyperbaric oxygen treatment of 38 patients with acute carbon monoxide poisoning

SUN Huiwen

Department of Hyperbaric Oxygen, Shandong Zibo Mining Group Co., Ltd. Central Hospital, Zibo 255120, China

[Abstract] Objective To investigate the clinical nursing intervention of the hyperbaric oxygen treatment of acute carbon monoxide poisoning. Methods Thirty-eight patients with acute carbon monoxide poisoning treated in our hospital from January 2013 to January 2014 were selected as the study subjects and all received hyperbaric oxygen treatment. Overall and comprehensive nursing intervention was strengthened. Results Of the 38 selected patients, the total effective rate was 94.7% and no severe adverse events occurred. Compared to before intervention, all the indicators of life quality after intervention improved significantly (P＜0.05). Conclusion Strengthening the overall nursing intervention of the hyperbaric oxygen treatment of acute carbon monoxide poisoning can ensure the successful implementation of treatment, is conducive to improve the clinical effects and can improve the patients quality of life, which is of high application value and worthy of wide promotion.

[Key words] Acute carbon monoxide poisoning; Hyperbaric oxygen; Nursing intervention

临床常见急危重症疾病类型中，急性一氧化碳中毒占有较高发生比例。急性一氧化碳中毒是指过长时间吸入或短时间内吸入过多一氧化碳所致，诱导局部和全身出现中毒症状，最为明显的受累部位为心脏和大脑，轻者呕吐、头昏、恶心、头痛，重者大便禁、昏迷、意识不清甚至死亡[1]。高压氧为有效治疗手段，可促进体内一氧化碳排除，使血红蛋白的运输氧能力恢复[2]。整体、全面的护理干预是保障预后的关键环节。本研究在应用高压氧治疗的同时加强整体护理干预，现报道如下。

1 资料与方法

1.1 一般资料

本次共选取38例患者，男20例，女18例，年龄35~79岁，平均（54.2±1.7）岁。中毒至就诊1~12h，均有昏迷病史及一氧化碳接触史，排除肝肾功能异常、高血压、心肌梗死、糖尿病、脑梗死、冠心病者。患者均自愿签署本次实验知情同意书。……