腕带式甘露醇外渗预防装置临床应用研究  

Clinical Application of Wrist Strap Mannitol Prevention Device

作　　者：巴志霞 安芳军 李辉 焦志梅 张丽萍 杜玉莎 BA Zhi-xia;An Fang-jun;Li Hui;JIAO Zhi-mei;ZHANG Li-Ping;DU Yu-sha(Medical Imaging Research Institute of Zhangye People's Hospital Affiliated to Hexi University,Zhangye 734000,Gansu Province,China)

机构地区：[1]河西学院附属张掖人民医院医学影像研究所,甘肃张掖734000

出　　处：《罕少疾病杂志》2024年第11期130-131,共2页Journal of Rare and Uncommon Diseases

基　　金：甘肃省高等学校创新基金项目(2022B-176)。

摘　　要：目的探讨腕带式甘露醇外渗预防装置预防高渗(20%)甘露醇大量外渗临床应用价值。方法在碘对比剂外渗报警器的基础上加以设计、改良而完成了腕带式甘露醇外渗预防装置。我院2019年10月至2021年10月行高渗(20%)甘露醇静脉注射病例共600例,A组300例为使用腕带式甘露醇外渗预防装置组,B组300例为不使用本装置组。两组患者均无高渗(20%)甘露醇使用禁忌证,用药量相同,均连续静脉使用高渗(20%)甘露醇一周,采用卡方检验法对两组间外渗分级评估,P<0.05认为差异有统计学意义。对腕带式甘露醇外渗预防装置进行疗效评价。结果使用腕带式甘露醇外渗预防装置组中28例患者发生高渗(20%)甘露醇外渗,Ⅰ度23例药物外渗,Ⅱ度5例药物外渗,Ⅲ度0例药物外渗;未使用腕带式甘露醇外渗预防装置组,常规护理,发生高渗(20%)甘露醇外渗患者78例,Ⅰ度57例药物外渗,Ⅱ度15例药物外渗,Ⅲ度6例药物外渗。结论使用腕带式甘露醇外渗预防装置预防高渗(20%)甘露醇外渗效果显著,避免了因高渗(20%)甘露醇外渗引起的不良后果,受到患者、患者家属及医务工作者的一致好评。Objective The objective is to investigate the clinical application value of iodine contrast agent extravasation alarm to prevent hypertonic(20%)mannitol extravasation.Methods A wristband mannitol exosmosis prevention device is designed and improved on the basis of iodine contrast agent exosmosis alarm.A total of 600 cases of hyperosmotic(20%)mannitol intravenous injection were received in our hospital from October,2019 to October,2021.The group A uses wristband mannitol extravasation prevention device,and 300 cases in group B without this device.There are no contraindications for the use of hypertonic(20%)mannitol in both groups,and the dosage is the same.All patients in both groups received hypertonic(20%)mannitol intravenously for one week.Chi-square test was used to evaluate the grading of exosmosis between the two groups,and the difference between the two groups(P<0.05)was considered statistically significant.Result After evaluating the efficacy of wrist strap mannitol extravasation prevention device,the result is that in the wristband mannitol extravasation prevention device group,28 patients suffered hypertonic(20%)mannitol extravasation.23 patients suffered grade I extravasation.5 patients suffered grade II extravasation,and no patients suffered grade III extravasation.In the group without wristband mannitol extravasation prevention device,78 cases of hyperosmotic(20%)mannitol extravasation occurred.57 cases suffered grade I extravasation.15 cases suffered grade II extravasation,and 6 cases suffered grade III extravasation.Conclusion The use of wrist strap mannitol extravasation prevention device has a remarkable effect on preventing hypertonic(20%)mannitol extravasation,which avoids adverse consequences caused by hypertonic(20%)mannitol extravasation.The device is highly praised by patients,patients'families and medical workers.

关 键 词：腕带式外渗预防装置 预防高渗(20%)甘露醇大量外渗 

分 类 号：R197.39[医药卫生—卫生事业管理]