两种更换输液瓶法对新生儿输液残留量的影响

The Effect of two kinds of replacement transfusion bottle method for neonatal transfusion residual

目的:控制新生儿静脉输液过程中输液瓶药液残留量,最大限度地保证药物剂量准确。方法:将需要输注的54瓶,容量为100 ml,装有50 ml 10%葡萄糖塑料材质输液瓶,随机分为对照组和观察组,每组27瓶,对照组在更换输液瓶时,待输液瓶内液体滴至瓶颈处,莫菲氏滴管上段输液器内有空气时,即更换输液瓶。观察组在更换输液瓶时,待输液瓶内液体滴至瓶颈处,莫菲氏滴管上段输液器内有空气时,操作者左手拇指与示指捏住输液瓶颈,右手将输液器排气管反折,置于左手中指与无名指之间,右手拇指与示指将输液器轻轻拔出瓶口约0.5 cm,然后挤压莫菲氏滴管,使输液瓶颈部残存的液体流入输液器内,再更换输液瓶。比较两种更换输液瓶法液体残留量。结果:观察组输液瓶残留液体量低于对照组(P<0.01)。结论:管理者必须关注新生儿输液的每一个环节,控制各环节的药液丢失量,确保新生儿用药量的准确性。

Objective：To control neonatal venous infusion bottles of liquid medicine residue,the maximum guarantee drug dosage is accurate.Methods：The required transfusion of 54 bottles,of capacity 100 ml,but with 50ml 10%GS plastic infusion bottle,were randomly divided into two groups： observation group and control group,each group have 27 bottles,The control group in the transfusion bottle was replaced,the infusion bottle drops of the liquid to the bottleneck,the murphy dropper infusion in upper air,replacement transfusion bottle.The observation group in the transfusion bottle is replaced,the infusion bottle drops of the liquid to the bottleneck,the murphy dropper infusion in upper air,the left thumb and index finger to pinch the infusion bottleneck,right hand infusion exhaust pipe reflexed,placed in the left hand middle finger and ring finger,right hand thumb and index finger will infusion bottle mouth gently pulled out by approx 0.5 cm,then squeeze the murphy′s dropper,the infusion bottle neck remnant liquid infusion device,to replace the infusion bottle.Compared the two kinds of replacement transfusion bottle method liquid residue.Results：The observation group on infusion residues belower than the control group（P〈0.01）.Conclusion：Managers must pay attention to the quality of all aspects,neonatal transfusion,control of all aspects of fluid loss,to ensure the accuracy of neonatal medicine.