396例临床输液反应的原因分析及护理对策  

ANALYSIS AND NURSING STRATEGY IN 396 PATIENTS WITH CLINICAL INFUSION REACTION

作　　者：郑晓明[1] 

机构地区：[1]临沂市人民医院,山东临沂276003

出　　处：《山东医学高等专科学校学报》2010年第2期98-100,共3页Journal of Shandong Medical College

摘　　要：目的分析临床静脉输液所致不良反应的原因及应采取相应护理对策。方法对我院2003年1月～2009年9月发生输液反应的396例患者从人群结构、药物因素、输液器材的质量、输液操作因素、患者及气候因素等方面进行归纳和分析并制定护理对策。结果输液反应发生与性别因素无关,各年龄段以55岁以上发生率最高;联合用药越多,输液反应发生率越高;加入抗生素粉针剂或中草药制剂输液反应发生率增加;引发因素以不溶性微粒超标最多;高发因素还包括内毒素阳性、输液器材不合格、输液操作因素等。结论分析不良反应的原因,认真执行三查七对,防止差错,药物、液体及器具在配制使用前认真检查以降低不良反应的发生率。Objective To analyze the etiopathogenisis and nursing-precaution of clinical infusion reaction caused by intravenous transfusion. Methods Three hundred and ninety-six patients underwent infusion reaction in our hospital from 2003.01 -2009.09 were studied in this group. Etiological factors such as patients＇ structure, effect of medicine and infusion apparatus, intravenous transfusion process and climatic factor were analyzed and the corresponding nursing-precaution strategies were put into practice. Results The sex element has nothing to do with the transfusion reaction. The highest incidence of age was over 55 among the patients of all kinds of age groups. The more categoris of the combined medicines especially injectable powder and Chinese herbal and crude drugs preparations were used, the much incidence of infusion reactions occured. The biggest triggering element is the superstandard of insoluble granule as well as endotoxin positive, unqualified transfusion outfit and incorrect operation, etc. Conclusion Nursing strategis should be carrid out to prevent the infusion reactions of intravenous transfusion.

关 键 词：输液反应 护理对策 

分 类 号：R473[医药卫生—护理学]