钠盐稀释对静滴氯化钾所致疼痛及补钾效果的影响  

The Effect of Diluted Sodium Salt on Pains Caused by Infused Potassium Chloride

作　　者：周玉甩[1] 徐瑞华[1] 陈立挺[1] 张俊[1] 童榕艳[1] 

机构地区：[1]余姚市人民医院消化内科,浙江余姚315400

出　　处：《护理学报》2006年第2期67-68,共2页Journal of Nursing（China）

摘　　要：目的探讨使用氯化钠稀释对缓解静滴氯化钾所致疼痛及补钾效果的影响。方法将60例血钾偏低需静脉补钾病人随机分为两组各30例,钠盐组将10%氯化钾15ml加入生理盐水500ml中进行静脉滴注,葡萄糖组将10%氯化钾15ml加入5%葡萄糖液500ml中进行静脉滴注,2次/d,观察局部疼痛发生情况,补钾2d后观察血钾升高值。结果两组疼痛程度比较有显著性差异(P<0.05);钠盐组血钾升高(0.57±0.14)mmol/L,葡萄糖组血钾升高(0.89±0.39)mmol/L,有显著性差异(P<0.05)。结论钠盐可缓解静滴氯化钾所致的局部疼痛,同时钠盐亦会减慢补钾的过程。Objective To explore the effect of diluted sodium salt on pains caused by infused potassium chloride. Methods Sixty hypokalemic patients who needed supplement of kalium were randomized equally into two groups： sodium salt group and glucose group, the former infused with 15 ml 10% potassium chloride mixed into 500 ml saline and the latter infused with 15 ml 10% potassium chloride mixed into 500 ml 5% glucose solution, both twice a day. The pains and the rises of blood kalium were observed and compared. Results The degree of pains had significant difference between the two groups （P〈0.05）. The blood kalium in the sodium salt group rose by （0.57±0.14）mmol/L and that in the glucose group by （0.89±0.39）mmol/L, with significant difference between them （P〈0.05）. Conclusion Sodium salt may relieve the local pains caused by infused potassium chloride and simultaneously slow down the process of supplementing kalium.

关 键 词：静脉输液 氯化钾 钠盐 疼痛 钠盐稀释 静滴 补钾 

分 类 号：R977.7[医药卫生—药品] R472.9[医药卫生—药学]