静脉补钾致局部疼痛的临床观察和处理

Clinical Observation and Corresponding Solutions on Pains Caused by Intravenous Supplement of Potassium Chloride

目的探讨使用糖盐水(GNS)及葡萄糖氯化钠钾注射液为补钾溶剂,局部疼痛的发生情况及处理对策。方法将我科住院的82例静脉补钾患儿随机分为2组(均为轻度低钾患儿):GNS组和葡萄糖氯化钠钾注射液组,1次/天静脉滴注,观察局部疼痛发生情况;对出现疼痛者,给与减慢滴速,局部热敷,外用局麻药或中药等处理,观察疼痛缓解情况。结果2组疼痛发生率和程度比较有显著性差异(P<0.01);有多种方法可缓解静脉补钾所致疼痛。结论对于儿童患者,使用GNS补钾仍有较高的疼痛发生率;葡萄糖氯化钠钾注射液补钾疼痛的发生率和程度明显减低,适当的积极处理,可减轻静脉补钾引起的疼痛,按时完成预定的输液治疗。

Objective To explore the effect of Glucose in normal saline(GNS)and Glucose and sodium chloride potassium chloride injection on pains caused by infused potassium chloride.Methods 82 hypokalemic patients of hospitalization who needed supplement of kalium were randomized equally into two groups:GNS group and Glucose and sodium chloride potassium chloride injection group,vein infusion,once a day.The pains were observed and compared.and to study the effective method of relieving the patients from pain caused by intravenous supplencent of potassium chloride.Results the incidence and degree of pains had significant diference between the two groups(P<0.01).the infusion pain could be eliminated or alleviated by several methods.Conclusion GNS may not relieve effectively the local pains caused by infused potassium chloride and Glucose and sodium chloride potassium chloride injection has remarkable effects in children.