三级甲等儿童医院门诊静脉输液反应的危险因素分析  

Analysis of risk factors for intravenous infusion in outpatients of a tertiary children′s hospital

作　　者：陈思[1] 程晓微 黄秋萍 Chen Si;Cheng Xiaowei;Huang Qiuping(Children′s Infusion Room,The Second Affiliated Hospital and Yuying Children′s Hospital,Wenzhou Medical University,Wenzhou 325000,China)

机构地区：[1]温州医科大学附属第二医院育英儿童医院儿童输液室

出　　处：《中国医院统计》2019年第5期356-358,362,共4页Chinese Journal of Hospital Statistics

摘　　要：目的对三级甲等儿童医院门诊静脉输液反应的危险因素进行分析,探讨相关预防干预对策。方法将2017年6月至2018年10月期间于三级甲等儿童医院门诊输液室接受静脉输液治疗的486例患儿作为观察对象,对患儿的基本资料进行回顾性分析,记录例患儿静脉输液过程中输液反应发生率,探讨输液反应的危险因素。结果486例患儿在输液过程中出现输液反应44例,发生率9.1%。多因素logistic回归分析结果显示,患儿年龄<7岁(OR=1.991)、输液量>1000 ml(OR=1.415)、免疫功能低下(OR=4.158)、致热源(OR=1.960)、药物刺激性强(OR=1.914)、过敏性疾病既往史(OR=5.778)、药品变质(OR=1.451)、微粒污染(OR=1.765)、输液速度过快(OR=1.634)为门诊静脉输液反应发生的危险因素,差异有统计学意义(P<0.05)。结论医院需强化医护人员关于输液反应的健康宣教,严格掌握静脉输液注意事项、适应症,熟练掌握输液反应的处理方法,以减少输液反应发生。Objective To analyze the risk factors of intravenous infusion in outpatients of a tertiary children′s hospital,and to explore related preventive interventions.Methods From June 2017 to October 2018,486 children who received intravenous infusion treatment in the infusion room of the tertiary children′s hospital were retrospectively analyzed.Retrospective analysis was carried out on the basic data of the children,the incidence rate of transfusion reaction in the course of intravenous infusion was recorded,and the risk factors of transfusion reaction were discussed.Results In 486 cases,44 cases of infusion reaction occurred during the infusion,and the incidence rate was 9.1%.Multivariate logistic regression analysis showed that children under 7 years old(OR=1.991),infusion volume over 1000 ml(OR=1.415),low immune function(OR=4.158),pyrogenic source(OR=1.960),drug irritation strong(OR=1.914),past history of allergic disease(OR=5.778),drug deterioration(OR=1.451),particulate contamination(OR=1.765),and infusion speed too fast(OR=1.634)were risk factors for outpatient intravenous infusion reactions.The difference was statistically significant(P<0.05).Conclusion The hospital needs to strengthen the health education of the medical staff on the infusion reaction,strictly grasp the precautions and indications of intravenous infusion,and master the treatment methods of infusion reaction to reduce the occurrence of infusion reaction.

关 键 词：门诊静脉输液 输液反应 危险因素 干预对策 

分 类 号：R195.4[医药卫生—卫生统计学] R197.5[医药卫生—卫生事业管理]