康复医学科脑卒中住院患者的静脉输液使用率现状调查和分析  

The use of intravenous fluids in the rehabilitation of stroke survivors

作　　者：怀娟[1] 王威 常鸣[1] 岳寿伟[1] 王永慧[1] Huai Juan;Wang Wei;Chang Ming;Yue Shouwei;Wang Yonghui(Department of Rehabilitation,Qilu Hospital of Shandong University,Jinan 250012,China)

机构地区：[1]山东大学齐鲁医院康复医学科,济南250012

出　　处：《中华物理医学与康复杂志》2022年第7期635-639,共5页Chinese Journal of Physical Medicine and Rehabilitation

摘　　要：目的调查山东省康复医学科脑卒中住院患者静脉输液使用现状,并进行分析,以期进一步规范脑卒中住院患者静脉输液,降低输液使用率。方法采用问卷调查的形式,调查山东省内医疗机构康复医学科脑卒中住院患者静脉输液应用的相关情况。调查内容包括2021年1月1日至5月31日时间段内总出院人次、脑卒中患者出院人次和脑卒中住院患者静脉输液的使用情况(包括静脉输液药物、原因、输液时间、用药天数等);静脉输液对康复治疗效果、脑卒中并发症和住院费用等的影响,以及所在医院对降低静脉输液率的态度和有效措施等。收集问卷数据进行统计学分析。结果山东省康复医学科脑卒中住院患者静脉输液使用率为31.72%,静脉输液药物种类以改善循环和营养神经为主。输液时间短对功能恢复未产生不良影响;输液时间长会影响科脑卒中住院患者的功能恢复,导致其并发症增加。静脉输液脑卒中患者日均费用较无静脉输液患者显著减少,药占比显著增加,差异均有统计学意义(P<0.05);静脉输液脑卒中患者的平均住院天数与无静脉输液脑卒中患者比较,差异无统计学意义(P>0.05)。结论静脉输液提高了药占比,且长时间输液影响功能恢复,对康复治疗产生不良影响,应采取各种措施降低静脉输液使用率,规范其应用。Objective To investigate the use of intravenous infusion in the rehabilitation of stroke survivors so as to further standardize and reduce the rate of use.Methods Stroke survivors hospitalized in rehabilitation departments in Shandong Province in the first 5 months of 2021 were the study′s subjects.Data on the use of intravenous infusion were compiled including the medicine administered,the reason for the infusion,as well as the duration and the number of days of infusion.The rehabilitative effect,stroke complications and hospitalization costs were recorded,as well as the attitude toward the use of infusion and any measures taken to reduce their use.Results The utilization rate of intravenous infusion was 31.72%.The drugs infused were mainly to improve circulation and feed the nerves.Short-term infusion had no adverse effects on functional recovery,but long-term infusion had negative effects and led to complications.The average daily cost of stroke survivors receiving intravenous infusion was significantly lower than that of patients not receiving it,and the proportion of their drug expenditure in the total cost was also significantly higher.There was no significant difference in the average length of hospital stay between patients receiving and not receiving infusion.Conclusions Intravenous infusion predicts greater drug use,and long-term infusion has a bad effect on rehabilitation and recovery.Various measures should be taken to reduce the utilization of intravenous infusion and standardize its application.

关 键 词：脑卒中 静脉输液 康复 住院患者 

分 类 号：R493[医药卫生—康复医学] R743.3[医药卫生—临床医学]