静脉滴注多巴胺在新生儿重症监护室的管理措施  

Management Measures of Intravenous Drip of Dopamine in the Neonatal Intensive Care Unit

作　　者：白琼丹[1] 张璋[1] 

机构地区：[1]郑州市儿童医院新生儿内科,河南郑州450000

出　　处：《中国卫生产业》2016年第31期127-129,共3页China Health Industry

摘　　要：目的探讨在新生儿重症监护室抢救中使用静脉滴注多巴胺的风险及管理对策,减少不良风险。方法回顾性分析2013年3月—2015年3月期间在该院新生儿重症监护室接受治疗的220例新生儿患者临床资料,全部患儿入室后均给予多巴胺静脉滴注治疗,分析总结导致静脉滴注多巴胺不良反应的原因,从管理角度提出防治措施。结果皮肤缺血性贫血、水泡、瘀斑等静脉滴注多巴胺后最常见的不良反应,分别占77.7%、63.0%和48.1%。在构成诱发多巴胺静脉不良反应的原因中,系患儿基础疾病所致占到85.2%,其次是穿刺部位不当,为40.7%。结论静脉滴注多巴胺容易发生皮肤不良反应,分析原因既有患儿体质及基础疾病,也有护理人员注射原因。医院应从全面护理角度加强多巴胺用药管理,减少不良反应。Objective To study the risk and management strategies of the intravenous drip of dopamine in the neonatal intensivecare unit and reduce the adverse risks. Methods 220 cases of newborns treated in the neonatal intensive care unitin our hospital from March 2013 to March 2015 were retrospectively analyzed, and all children were treated with intravenousdrip of dopamine after admission, and the causes of adverse reactions of intravenous drip of dopamine were analyzedand summarized, and the prevention and cure measures were put forwards from the management perspective. Results Skiniron deficiency anemia, blister and ecchymosis were the most common adverse reactions after the intravenous drip ofdopamine, respectively accounting for 77.7%, 63.0% and 48.1%, in the causes of dopamine intravenous adverse reaction,basic diseases of children accounted for 85.2% and the improper site of paracentesis accounted for 40.7%. Conclusion Theintravenous drip of dopamine is easy to cause the skin adverse reactions, and the causes include the body constitution ofchildren and basic diseases and the injection of nursing staff, and the hospital should enhance the dopamine medicationmanagement and reduce the adverse reactions from the general nursing perspective.

关 键 词：多巴胺静脉滴注 新生儿重症监护室 不良反应 管理 

分 类 号：R7[医药卫生—临床医学]