继发性甲状旁腺功能亢进患者术后高浓度补钙静脉通路选择的研究  

Exploration on intravenous calcium infusion with high dose in patients with secondary hyperparathyroidism

作　　者：冯晓东 李雪玉 毕婷 祁娜 唐裕福 程广明 王春晖 FENG Xiaodong;LI Xueyu;BI Ting;QI Na;TANG Yufu;CHENG Guangming;WANG Chunhui(Department of Hepatobiliary Surgery,Northern Theater General Hospital,Shenyang 110016,China;Nursing Department,Northern Theater General Hospital,Shenyang 110016,China;Department of Psychology,Northern Theater General Hospital,Shenyang 110016,China)

机构地区：[1]北部战区总医院肝胆外科,沈阳市110016 [2]北部战区总医院护理部,沈阳市110016 [3]北部战区总医院心理科,沈阳市110016

出　　处：《护理管理杂志》2021年第2期128-131,共4页Journal of Nursing Administration

基　　金：辽宁省自然科学基金指导计划项目(20180551225)。

摘　　要：目的探索继发性甲状旁腺功能亢进患者术后静脉高浓度补钙的最佳输液途径。方法收集2016年1月至2019年10月医院收治的手术治疗后需静脉补钙的406例继发性甲状旁腺功能亢进患者的临床资料,按输液途径不同分为3组,A组经非动静脉内瘘端前臂静脉留置针输液(98例),B组非动静脉内瘘端经外周静脉穿刺中心静脉置管输液(43例),C组经颈外静脉留置针输液(265例),观察不同组间患者的输液不良反应、护理操作依从性及护理满意度。结果A、B两组患者出现不同程度输液不良反应,C组患者未出现输液不良反应(P<0.01或P<0.05);3组患者在输液疼痛、依从性、满意度方面有显著差异性(P<0.01)。结论继发性甲状旁腺功能亢进患者术后采用颈外静脉留置针方式静脉高浓度补钙,输液不良反应轻,患者依从性和满意度高,值得推广。Objective To explore the best route of intravenous high concentration calcium supplementation in patients with secondary hyperparathyroidism after operation.Methods The total of 406 patients with secondary hyperparathyroidism receiving intravenous calcium supplementation after surgery were divide into group A(n=98),group B(n=43)and group C(n=265)according to the infusion route.Group A was given intravenous inferior forearm vein indwelling needle infusion,group B received peripheral venous catheterization(PICC),group C was given indwelling needle through the external jugular vein.The infusion adverse reactions,nursing operation compliance and nursing satisfaction of patients were compared between different groups.Results Group A and B had different degrees of infusion adverse reactions,group C had no infusion adverse reactions(P<0.01 or P<0.05),there were significant differences in infusion pain,compliance and satisfaction among the three groups(P<0.01).Conclusion In patients with secondary hyperparathyroidism,the jugular vein indwelling needle is used for intravenous high concentration calcium supplementation can reduce infusion adverse reaction and improve the patient compliance and satisfaction,which is worthy of promotion.

关 键 词：继发性甲状旁腺功能亢进 甲状旁腺全切术 静脉高浓度补钙 输液途径 

分 类 号：R473.6[医药卫生—护理学]