生理盐水冲管预防输液药物不良相互作用的研究  

Study on the effects of watering tube with normal saline during transfusion in preventing from drugs＇ bad interactions

作　　者：陈夏冰[1] 张秀凤[1] 

机构地区：[1]广东省汕头市第二人民医院注射室,515011

出　　处：《中华现代护理杂志》2009年第35期3720-3722,共3页Chinese Journal of Modern Nursing

摘　　要：目的观察生理盐水冲管在预防静脉输液过程中药物不良相互作用的意义。方法把60例接受静脉输液的急性上呼吸道感染患者随机分为两组，研究组（n=30）在换接药液过程中采用生理盐水冲管；对照组（n：30）按一般输液方法换接药液。观察两组莫菲氏滴管内药物与生理盐水或两种药物在相遇时的外观变化，记录副反应、输液治疗天数和临床疗效，同时调查患者对输液的满意度。结果研究组莫菲氏滴管内药物与生理盐水在相遇时发生外观变化为0，对照组两种药物在相遇时发生外观变化为30．0％，研究组副反应的发生率低于对照组，差异均有统计学意义（P〈0．05），两组的临床疗效、输液治疗天数差异无统计学意义（P〉0．05），研究组满意度高于对照组（P〈0.05）。结论在临床换接药液过程中，采取生理盐水冲管的方法，在预防静脉输液过程中药物不良相互作用方面有一定的优点，可在临床上灵活应用。Objective To observe the significance of watering tube with normal saline during transfusion in preventing from drugs＇ bad interactions. Methods Totally 60 cases with acute upper respiration infection accepted transfusion were randomly divided into two groups. The study group （ n = 30） were performed watering tube with normal saline during transfusion. The control group （ n = 30 ） were done with general transfusion nursing. All the subjects were observed about appearance changes of drugs together in Murphy＇s tube and recorded side-effects and clinical efficacy. At the same time, the satisfactions about transfusion were investigated and compared. Results The probability of appearance change in Murphy＇s tube in the study group （0.0%） showed significantly lower than that in the control group（ 30.0%, P 〈 0. 01 ）. The incidence of sideeffects in the study group（ 10.0% ） showed significantly lower than that in the control group（33.3% ,P 〈0. 05）. There showed no significant differences between the two groups in clinical efficacy and treatment days （P 〉 0. 05）. The satisfactions about transfusion, the drug dispensation and transfusion technology in the study group showed significantly higher than those in the control group （ P 〈 0. 05 or 0. 01 ）. Conclusions The way of watering tube with normal saline during transfusion has some advantage in preventing from drugs＇ bad interactions. It may be used skillfully during clinical transfusion.

关 键 词：生理盐水 冲管 输液技术 药物不良相互作用 输液护理 

分 类 号：R472[医药卫生—护理学]