摘要
目的探讨如何降低多通路输液患者输液逆流的发生。方法对照组采用泵入药物与常规输液通路一起输液的传统方式,实验组所有输液药品均采用泵入方式输液,对比两组患者输液逆流发生情况。结果对照组113例患者,出现了29例输液逆流,实验组为0例(χ~2=34.903,P=0.000);对照组出现的29例输液逆流中,19例(65.52%)为输液前端压力增高所致,10例(34.48%)为输液瓶产生负压回抽所致;21例(72.41%)输液逆流出现在四通路组中,8例(27.59%)出现在三通路组;留置针72 h有效期内24 h出现输液逆流4例(13.79%),24~48 h出现输液逆流11例(37.93%),48~72 h出现输液逆流14例(48.28%);29例输液逆流中,23例(79.31%)通过更换输液器处理,6例(20.69%)药品作废。结论对于多通路输液的患者,应用输液泵进行常规药液的输入可以有效预防输液逆流发生。
Objective To explore ways to reduce the occurrence of reverse flow during multiple channel infusion. Meth- ods In this study, 332 patients were divided into the control group that used the traditional way of infusion and the pump, and in- to the experimental group that used infusion drugs alone. The occurrence of reverse flow was compared between the two groups. Results Among the 113 cases in the control group, there were 29 cases of reverse flow, but there was none in the experimental group to 0/119 （X2 =34. 903, P=0. 000）. Among the 29 cases of reverse flow in the control group, 19 cases （65.52%） were caused by increased pressure before infusion, and 10 cases （34.48%） caused by the negative pressure from the infusion bottle. 21 of the cases （72.41%） of reverse flow occurred in the four-way infusion group, and 8 cases （27.59%） in thethree-way in- fusion group. When the needles were within the 72-hour period of validity, 4 cases （ 13.79% ） of reverse flow occurred at 24h , 11 cases （37.93%） at 24-48h, and 14 cases （48.28%） at 48-72h. Among the 29 cases of reverse flow, 23 cases （79.31%） were handled by changing the infusion device, and 6 cases （20.69%） had the drug abandoned. Conclusion For patients receiv- ing multi-channel infusion, the infusion pump can be used to prevent the occurrence of reverse flow.
出处
《解放军预防医学杂志》
CAS
2017年第3期266-268,共3页
Journal of Preventive Medicine of Chinese People's Liberation Army
关键词
EICU
输液逆流
静脉输液
EICU
reverse flow of infusion
intravenous infusion.
