POCT在急诊科对于高钾血症患者抢救效果的影响  

Effect of POCT on rescue of patients with hyperkalemia in emergency departments

作　　者：耿甲芹 戴李华 尹莉莉 刘芙蓉 梁立维[2] GENG Jiaqin;DAI Lihua;YIN Lili;LIU Furong;LIANG Liwei(Emergency Department,Shi Dong Hospital,Yangpu District,Shanghai 200438,China;Department of Science and Education,Shidong Hospital,Yangpu District,Shanghai 200438,China)

机构地区：[1]上海市杨浦区市东医院急诊科,上海200438 [2]上海市杨浦区市东医院科教科,上海200438

出　　处：《外科研究与新技术》2023年第1期74-76,共3页Surgical Research and New Technique

基　　金：杨浦区2019-2022年度重点学科(A类)(YP19ZA07);上海市卫健委课题(201840373)。

摘　　要：目的 探析快速床旁检验(poct)在急诊科对于高钾血症患者抢救效果的影响。方法 选取2020年1月—2021年11月进行动脉血气分析检查结果为高钾血症的86例患者作为研究对象,分析这些研究对象的现场诊断与治疗效果,总结快速床旁检验(POCT),在高钾血症患者在诊断与治疗中的优势。结果 86例急诊高钾血症患者中43例进行常规血气分析送检检验科分析,43例进行床旁检验(poct)进行动脉血气分析。应用床旁检验(poct)有效的缩短了检验报告等待的时间,对于患者病情的快速诊断与治疗提供依据,提高了患者早期的确诊率,开通绿色通道,防止高钾血症并发症的发生,减少病死率,提高了患者的生存率和生活质量(P<0.05)。结论 快速床旁检验缩短了获取报告的时间,为患者诊断与治疗提供依据,及时给予治疗干预措施,使患者得到及时治疗,提高早期诊断率,提高患者满意度。Objective To investigate the effect of point-of-care test(POCT)on the rescue of hyperkalemia patients in emergency departments.Methods A total of 86 patients with hyperkalemia who underwent arterial blood gas analysis from January 2020 to November 2021 were selected as study subjects.The on-site diagnosis and treatment effects of these subjects were analyzed,and the advantages of POCT in the diagnosis and treatment of hyperkalemia were summarized.Results Among the 86 emergency hyperkalemia patients,43 cases underwent routine blood gas analysis and 43 cases underwent POCT for arterial blood gas analysis.POCT effectively shortened the waiting time for test reports,provided a basis for rapid diagnosis and treatment of patients’conditions,improved early diagnosis rate,opened easy access,prevented the occurrence of complications of hyperkalemia,reduced mortality,and improved the survival rate and quality of life of patients(P<0.05).Conclusion POCT can shorten the time to obtain reports,provide evidence for diagnosis and treatment,give timely treatment and interventions,improve early diagnosis rate,and elevate patients’satisfaction.

关 键 词：快速床旁检验 高钾血症 抢救 

分 类 号：R471[医药卫生—护理学]