长期多频次机采献血者体内钙磷代谢变化及口服葡萄糖酸钙改善柠檬酸盐抗凝剂不良反应的护理研究  

A study on calcium phosphate metabolic changes in the body of blood donors with long-term multi-frequency machine blood collection and the effect of oral calcium gluconate on improving the adverse reaction of the citrate anticoagulation

作　　者：孙革[1] 熊恺轩[1] 蓝欲晓[1] 田怡[1] 伍娟[1] 陈丽萍[1] 

机构地区：[1]深圳市血液中心,广东深圳518035

出　　处：《国际护理学杂志》2014年第6期1297-1299,共3页international journal of nursing

摘　　要：目的：调查研究深圳市长期多频次机采献血者体内钙磷代谢变化及口服葡萄糖酸钙改善柠檬酸盐抗凝剂不良反应护理。方法采用随机数字表法将56例献血者按照含有口服葡萄糖酸钙的方式，分为采集前补钙组20例，采集中补钙组19例，未补钙组17例。结果跟踪观察三组献血者的血清钙水平、磷水平以及PTH水平，均出现不同变化。在采集后60 min中未补钙组中血清PTH为（160.23±29.76）pg／ml，采集中补钙组为（121.75±43.12）pg／ml，采集前补钙组为（104.75±20.99）pg／ml，三者相比差异有统计学意义（ P＜0.05）。结论献血者机采前10 min口服葡萄糖酸钙，是补充钙剂的最佳时机，有利于改善献血者低钙症状，提高机采过程中的舒适度，确保献血安全。Objective To investigate calcium phosphate metabolic changes in the body of blood donors with long -term multi-fre-quency machine blood collection and the effect of oral calcium gluconate on improving the adverse reaction of the citrate anticoagulation . Methods By the method of random number table , 56 cases of blood donors were divided into three groups：calcium supplement before col-lecting group with 20 cases, calcium supplement when collecting group with 19 cases and no calcium supplement group with 17 cases.Results The serum calcium , phosphorus and PTH levels of blood donors were followed and observed , the changes appeared .After 60 min blood collection, in the group with no calcium supplement , the group with calcium supplement when collecting and the group with calcium supple-ment before collecting , serum PTH was respectively （160.23 ±29.76 ） pg/ml, （121.75 ±43.12 ） pg/ml and （104.75 ±20.99 ） pg/ml, there were differences in the three groups （ P〈0.05 ） .Conclusions The best time of calcium supplementation with oral calcium gluconate is 10 minutesbefore collecting blood .It can improve hypocalcemia symptoms , improve comfort to ensure blood donationsafety.

关 键 词：长期多频次机采献血 柠檬酸盐抗凝剂 不良反应 护理 

分 类 号：R47[医药卫生—护理学]