前馈控制理念下的输液安全管理对新生儿输液外渗风险及应激激素水平的影响效果  

Effects of transfusion safety management under feedforward control concept on transfusion extravasation risk and stress hormone levels in neonates

作　　者：纪子曼 侯真 王倩 JI Ziman;HOU Zhen;WANG Qian(Henan Children's Hospital,Zhengzhou 450000,China)

机构地区：[1]河南省儿童医院,郑州儿童医院麻醉与围术期医学科,郑州450000 [2]河南省儿童医院,郑州儿童医院普通外科,郑州450000

出　　处：《中国中西医结合儿科学》2023年第2期149-152,共4页Chinese Pediatrics of Integrated Traditional and Western Medicine

摘　　要：目的前馈控制理念下的输液安全管理对新生儿输液外渗风险及应激激素水平的影响效果。方法选取我科2021年1月至2022年9月需要静脉输液的新生儿105例作为研究对象,随机分为对照组52例和观察组53例。对照组给予常规静脉输液护理,观察组给予基于前馈控制的输液护理。对比两组患儿输液情况、应激情况以及输液反应评分。结果观察组患儿的一次穿刺成功率为92.45%(49/53),高于对照组69.23%(36/52),并发症总发生率为1.89%(1/53),低于对照组19.23%(10/52),差异有统计学意义(P<0.05);两组患儿输液后的心率、平均动脉压、肾上腺素以及去甲肾上腺素水平均高于输液前,对照组较观察组升高明显,差异有统计学意义(P<0.05);观察组患儿面部表情、哭泣不止、反射性回避、挣扎以及躁动不宁评分均低于对照组,差异有统计学意义(P<0.05)。结论前馈控制理念下的输液安全管理可以改善新生儿输液的输液情况,降低输液外渗等并发症发生风险,减轻输液过程中的应激反应,缓解新生儿输液反应。Objective To investigate the effects of transfusion safety management under the feedforward control concept on transfusion extravasation risk and stress hormone levels in neonates.Methods A total of 105 neonates requiring intravenous infusion from January 2021 to September 2022 in our department were selected as research subjects and randomly divided into control group(52 cases)and observation group(53 cases).The control group was given routine intravenous infusion nursing,and the observation group was given infusion nursing based on feedforward control.The scores of infusion,stress and infusion response were compared between the two groups.Results The success rate of one puncture in observation group was 92.45%(49/53),higher than that in control group(69.23%,36/52),and the total complication rate was 1.89%(1/53),lower than that in control group(19.23%,10/52),the difference being statistically significant(P<0.05).The heart rate,mean arterial pressure,epinephrine and norepinephrine levels of the two groups were higher after infusion than before infusion,and the control group was higher than the observation group,the difference being statistically significant(P<0.05).The scores of facial expression,crying,reflexive avoidance,struggling and restlessness in the observation group were lower than those in the control group,and the difference was statistically significant(P<0.05).Conclusion Infusion safety management under the feedforward control concept can improve the infusion situation of newborn infants,reduce the risk of complications such as infusion extravasation,alleviate the stress reaction during infusion,and alleviate the infusion reaction of newborn infants.

关 键 词：输液管理 前馈控制理念 输液外渗 应激反应 新生儿 

分 类 号：R722[医药卫生—儿科]