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急性药物中毒接受洗胃患者的并发症发生现状及影响因素分析

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目的 调查急性药物中毒接受洗胃患者的并发症发生现状,并分析其影响因素.方法 选取2021年2月至2022年 12 月我院收治的 107 例急性药物中毒患者作为研究对象,患者均接受洗胃,根据是否发生并发症将其分为发生组和未发生组.入院当天收集患者的一般资料,通过单因素分析筛选出急性药物中毒接受洗胃患者发生并发症的有关因素,再通过Logistic回归分析探讨并发症发生的影响因素.结果 107例急性药物中毒接受洗胃患者的并发症发生率为 24.30%.单因素分析结果显示,两组的年龄、基础疾病、格拉斯哥昏迷评分量表(GCS)评分、中毒至抢救时间比较,差异具有统计学意义(P<0.05).Logistic回归分析结果显示,年龄、基础疾病、GCS评分、中毒至抢救时间是急性药物中毒接受洗胃患者并发症发生的影响因素(P<0.05).结论 急性药物中毒接受洗胃患者并发症发生率较高,年龄、基础疾病、GCS评分、中毒至抢救时间均是导致急性药物中毒接受洗胃患者发生并发症的影响因素,临床应加强监测,针对性采取策略以预防和控制并发症发生,改善预后.
Current situation and influencing factors analysis of complications in patients with acute drug poisoning undergoing gastric lavage
Objective To investigate the current situation of complications in patients with acute drug poisoning undergoing gastric lavage,and to analyze the influencing factors.Methods A total of 107 patients with acute drug poisoning admitted in our hospital from February 2021 to December 2022 were selected as the study objects.All patients received gastric lavage and were divided into occurrence group and non-occurrence group according to whether complications occurred.The general data of patients were collected on the day of admission.The related factors of complications in patients with acute drug poisoning undergoing gastric lavage were screened by single factor analysis,and the influencing factors of complications were explored by Logistic regression analysis.Results The incidence of complications in 107 patients with acute drug poisoning undergoing gastric lavage was 24.30%.The results of univariate analysis showed that there were statistically significant differences in age,underlying diseases,Glasgow Coma Score(GCS)score,and time from poisoning to rescue between the two groups(P<0.05).Logistic regression analysis results showed that age,underlying disease,GCS score,and time from poisoning to rescue were influencing factors for complications in patients with acute drug poisoning undergoing gastric lavage(P<0.05).Conclusion The incidence of complications in patients with acute drug poisoning undergoing gastric lavage is high.Age,underlying disease,GCS score,and time from poisoning to rescue are all influencing factors for complications in patients with acute drug poisoning undergoing gastric lavage.Clinical monitoring should be strengthened,and targeted strateg should be taken to prevent and control complications and improve prognosis.

acute drug poisoninggastric lavagecomplicationinfluencing factor

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商丘市第一人民医院急诊内科,河南 商丘,476100

急性药物中毒 洗胃 并发症 影响因素

2024

临床医学研究与实践

临床医学研究与实践

ISSN:
年,卷(期):2024.9(15)
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