不同冲封管方法对泵入去甲肾上腺素患者血压波动影响的研究

发布时间：2018-04-27 02:22

本文选题：去甲肾上腺素 + 微量注射　；参考：《中华护理杂志》2017年05期

【摘要】：目的了解不同冲封管方法对使用微量泵持续泵入去甲肾上腺素患者动脉血压的影响。方法采取方便抽样法,选取2016年3月—9月需要经深静脉微量泵泵入去甲肾上腺素治疗的40例神经内科重症监护病房危重患者作为研究对象,随机分成两组,每组各20例。实验组冲封管前先将其中心静脉置管内的药液抽吸出来,再按照常规操作方法进行冲封管;对照组采用常规操作方法进行冲封管。比较两种方法对患者动脉血压的影响。结果本研究实验组冲封管209次,对照组冲封管214次。重复测量方差分析结果显示,两组的收缩压、舒张压和平均动脉压的组间效应和时间效应差异均具有统计学意义(P0.05),且两组的收缩压、舒张压和平均动脉压干预与时间因素存在交互效应(P0.05)。结论冲封管前,先抽吸中心静脉置管内的药液,再按照常规操作方法进行冲封管的方法,可降低使用微量泵泵入去甲肾上腺素患者血压骤增的风险。
[Abstract]:Objective to investigate the effect of different sealing methods on arterial blood pressure in patients with noradrenaline. Methods from March to September 2016, 40 critically ill patients in intensive care unit of neurology department who needed to be treated with norepinephrine via deep vein micropump were randomly divided into two groups, 20 cases in each group. The experimental group first sucked out the medicine liquid from the central vein placed in the tube before washing and sealing the tube, and then flushed the tube according to the routine operation method; in the control group, the routine operation method was used to flush and seal the tube. The effects of two methods on arterial blood pressure were compared. Results the experimental group had 209 times of sealing the tube and the control group 214 times. The results of ANOVA showed that there were significant differences in systolic blood pressure, diastolic blood pressure and mean arterial pressure between the two groups (P 0.05), and the systolic blood pressure of the two groups. Diastolic blood pressure (DBP) and mean arterial pressure (ABP) were interacted with time factors (P 0.05). Conclusion the risk of blood pressure sudden increase in patients with norepinephrine can be reduced by sucking the liquid from central vein before washing and sealing the tube according to the routine operation method.
【作者单位】：南方医科大学南方医院神经内科;南方医科大学南方医院护理部;
【基金】：广东省省级科技计划项目(2014A020212542)
【分类号】：R473.74

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