自动化智能微量泵在血管活性药物续泵更换中的应用  

Application of automatic and intelligent micro pump in changing vasoactive agents

作　　者：徐文红[1] 高玲[1] 冯锦茶[1] 杨瑞冬[1] 

机构地区：[1]解放军总医院心血管外科监护室,北京100853

出　　处：《中华现代护理杂志》2017年第34期4388-4390,共3页Chinese Journal of Modern Nursing

摘　　要：目的探讨自动化智能微量泵在血管活性药物续泵更换中的应用效果。方法选取2016年4—11月在解放军总医院心血管外科就诊的心脏术后应用大剂量血管活性药物（多巴胺或盐酸肾上腺素）的患者60例，分为试验组（n=30）和对照组（n=30），试验组采用自动化智能微量泵对药物续泵更换，对照组采用传统双泵法进行药物更换，观察比较两组患者在更换药物前后血压波动情况。结果两组患者血管活性药物更换前血压差异无统计学意义（P〉0.05），组间比较发现更换后30 s传统双泵组患者平均血压高于智能微量泵组，差异有统计学意义（P=0.011）；组内比较发现，更换药物后30 s和1 min传统双泵组患者血压波动大于智能微量泵组，差异有统计学意义（P〈0.05）。结论自动化智能微量泵在药物续泵更换过程中维持患者血压稳定方面具有较好优势，值得临床推广和应用。ObjectiveTo explore the effects of automatic and intelligent micro pump in changing vasoactive agents.MethodsThis research selected 60 patients with a great number of vasoactive agents （dopamine or adrenalin hydrochloride） after cardiac surgery of Cardiovascular Surgery in Chinese PLA General Hospital from April to November 2016. Those patients were divided into experimental group （n=30, changing agents with the automatic and intelligent micro pump） and control group （n=30, changing agents with the traditional method of dual pump） . The fluctuation of blood pressure （BP） of patients between two groups was compared before and after changing agents.ResultsThere was no significant difference in BP of both group patients before changing vasoactive agents （P〉0.05） . The mean BP of patients in the control group was significantly higher than that in the experimental group 30 seconds after changing vasoactive agents （P=0.011） . The degree of fluctuation of BP of patients in the control group was greater than that in the experimental group 30 seconds and one minute after changing agents with a significant difference （P〈0.05） .ConclusionsThe automatic and intelligent micro pump has a big advantage in maintaining a stable BP during changing agents by pump. It is worth to be used widely in clinical application.

关 键 词：智能微量泵 自动化 血管活性药物 应用 

分 类 号：R472[医药卫生—护理学]