两种不同有创动脉血压监测护理方法应用于儿童的效果比较  

Comparison on effect of two kinds of different invasive arterial blood pressure monitoring and nursing methods applied in children

作　　者：翁永林[1] 

机构地区：[1]重庆医科大学附属儿童医院

出　　处：《全科护理》2015年第5期409-410,共2页Chinese General Practice Nursing

基　　金：2013-2014年度国家临床重点专科基金资助项目;编号:国卫办医涵[2013]544号

摘　　要：[目的]比较两种不同有创动脉血压监测的护理方法应用于儿童的临床效果。[方法]对使用有创动脉血压监测的58例患儿采用随机方法分为生理盐水组(30例)和肝素盐水组(28例),予以持续冲洗管路,比较两种不同冲洗方法在48h内的临床效果。[结果]生理盐水组和肝素盐水组在24h内均未发生管路堵塞,在36h内分别堵塞2例(6.6%)和1例(3.6%),在48h内分别累计堵塞3例(9.9%)和2例(7.1%)。两种护理方法在血栓形成和患儿使用前后凝血酶原时间(PT)和活化部分凝血活酶时间(APTT)变化方面差异无统计学意义(P>0.05)。[结论]使用生理盐水和肝素盐水冲洗管路对有创动脉血压监测管路在血栓形成和患儿凝血功能方面差异不明显,对于儿童特别是低体重患儿建议使用生理盐水1mL/h冲洗。Objective：To compare the clinical effect of two kinds of different invasive arterial blood pressure mo- nitoring and nursing methods applied in children. Methods. A total of 58 children patients with invasive arterial blood pressure monitoring were randomly divided into physiological saline group （30 cases） and heParin saline group （28 cases）,then to compare the clinical effect of two different methods of flushing by continuous flushing in 48 hours. Results：The pipeline blockage didn＇t occur within 24 h in saline group and heparin saline group;the pipeline blockage respectively occurred in 2 cases （6.60%） and 1 case （3.6%） within 36 h,and the accumulated pipeline blockage respectively occurred in 3 cases （9.9%） and 2 cases （7.1%） within 48 h. There was no statis- tically significant difference in changes of thrombosis,the prothrombin time （PT） before and after the use of nursing methods in children and activated partial thromboplastin time （APTT） （P〉0.05）. Conclusion：There is not significant difference in the effect of physiological saline and heparin saline flushing pipeline at the aspects of thrombosis and children＇s coagulation function when invasive arterial blood pressure monitoring, and it suggests to use physiological saline 1 mL/h to flush in children with low birthweight especially .

关 键 词：有创动脉血压 监测 护理 

分 类 号：R473.72[医药卫生—护理学]