血透机自带肝素泵在静脉泵注蔗糖铁中的应用  

Application of auto-heparin pump to venous infusion of iron sucrose in patients undergoing maintenance hemodialysis

作　　者：廖茂蕾 许燕 刘俊 吴平 陶明芬 周志庆 LIAO Maolei;XU Yan;LIU Jun;WU Ping;TAO Mingfen;ZHOU Zhiqing(Department of Nephrology,The First Affiliated Hospital of Wannan Medical College,Wuhu 241001,China)

机构地区：[1]皖南医学院第一附属医院弋矶山医院肾脏内科 [2]皖南医学院第一附属医院弋矶山医院血液净化中心 [3]皖南医学院第一附属医院弋矶山医院护理部,安徽芜湖241001

出　　处：《皖南医学院学报》2021年第6期607-609,共3页Journal of Wannan Medical College

基　　金：安徽高校人文社会科学研究项目(SK2019A0212,SK2019A0220)。

摘　　要：目的:观察血透机自带肝素泵在维持性血液透析患者静脉泵注蔗糖铁中的效果。方法:通过20例维持性血液透析患者的自身对照,分为推注法和泵注法使用蔗糖铁各200例次;观察两种方法的操作时间、患者的不良反应、操作的不良事件发生率,患者泵注蔗糖铁前后血红蛋白的数值。结果:泵注法的操作耗时[(1.27±0.04)min]短于推注法耗时[(6.23±0.04)min],P<0.01。泵注法患者发生不良反应次数低于推注法(P<0.01),而两种方法不良事件发生次数差异无统计学意义(P>0.05)。患者经蔗糖铁泵注治疗后,血红蛋白由泵注前(102.90±11.30)g/L上升至泵注后(111.00±9.43)g/L,P<0.05。结论:利用血透机自带肝素泵静脉泵注蔗糖铁,减少护士操作时间,减轻患者不良反应,不影响患者疗效,安全有效。Objective:To observe the effect of auto-heparin pump equipped with the hemodialysis machine in intravenous infusion of iron sucrose in patients undergoing maintenance hemodialysis.Methods:Twenty patients undergoing maintenance hemodialysis were included,and received 200 times of intravenous injection or infusion,respectively,based on patient′s self-control.Then the two methods were observed concerning the operation time,adverse reactions,incidence from operation and hemoglobin value of the patients before and after administration of iron sucrose.Results:The operation time was significantly shorter by pump infusion than by bolus injection[(1.27±0.04)min vs.(6.23±0.04)min,P<0.01].The incidence of adverse reactions was lower in pump infusion than in bolus injection(P<0.01),yet the frequencies of adverse events remained insignificant between the two methods(P>0.05).Hemoglobin level was increased from(102.90±11.30)g/L before use of iron sucrose to(111.00±9.43)g/L after pump infusion of iron sucrose(P<0.05).Conclusion:Auto-heparin pumping device built in the hemodialysis machine for infusion of iron sucrose can reduce the operating time of nurses and bring down the adverse reactions in patients without affecting the curative effect,and this method is safe and effective.

关 键 词：蔗糖铁 肝素泵 维持性血液透析 

分 类 号：R473.55[医药卫生—护理学]