58例静脉输液反应发生的相关因素调查分析

Related factors for 58 cases of intravenous infusion reaction

目的分析58例发生静脉输液反应的原因,提高静脉输液质量,减少静脉输液反应的发生。方法对本院近2年来发生的58例静脉输液反应从致热源、细菌、药物因素、输液器具、季节、患者年龄、环境、消毒剂浓度等方面进行分析。结果对静脉输液发生反应的药液进行热源检测,共有5例阳性;血培养7例阳性;药液细菌培养2例阳性;同一批号未开封药液细菌培养无细菌生长;输液器及头皮针细菌培养和热源检测全部阴性;引起静脉输液反应发生的药物以中药制剂、大分子物质、血液制品及含钾离子的药物为主;夏季为高发季节;发生率高的为老年人。结论发生静脉输液反应的因素是复杂的,它直接影响患者的治疗效果和生命安全,应针对影响因素采取有效地预防措施,有效降低静脉输液反应的发生。

Objectrve To analyze reasons for 58 cases of intravenous infusion reaction to find preventive measures, improve the quality of intravenous infusion and reduce the incidence of intravenous infusion reaction. Methods Analysis of 58 cases of intravenous infusion reaction about the pyrogen, bacteria, drugs, infusion devices, season, patient age, environment, disinfectants concentration and other aspects of our hospital in the past two years.Results Assay the pyrogen of drug solution which cause the intravenous infusion reaction, a total of 5 cases was positive; 7 cases was blood culture positive; 2 cases of bacterial culture positive, 3 cases were no bacterial growth in the opened drug solution of the same batch; infusion bacterial culture and pyrogen detection of infusion set and scalp acupuncture were all negative; most of the intravenous infusion reaction were caused by traditional Chinese medicine, macromolecular material, blood products and plasma-based drugs; summer was high-incidence season, the middle-aged and elderly were high-risk population.Conclusion The factor inducing infusion reaction is complex, because it has a direct impact on treatment outcomes and life safety of patients, we should take effective preventive measures for influencing factors to reduce the incidence of intravenous infusion reactions effectively.