持续泵注血管活性药和全胃肠外营养新生儿输液安全的干预

Prevention interventions of continuous infusion of vasoactive drugs and neonatal TPN infusion

目的：探讨同时持续泵注血管活性药和全胃肠外营养（TPN）的新生儿实施干预措施，保护静脉，预防输液外渗损伤发生，提高输液安全的方法。方法：将2011年5月～2013年5月我院收治同时持续泵注血管活性药和 TPN 的80例新生儿随机等分为试验组和对照组，试验组通过留置两路静脉通道轮流输液，换下的静脉通路用生理盐水冲封管、在血管外涂少量喜辽妥、用 Excel 表严格计算 TPN 的渗透压等干预措施。对照组没有实施上述干预措施。结果：试验组与对照组相比输液外渗发生率降低、皮肤坏死率低，没有因输液外渗引发护理纠纷。结论：对持续泵注血管活性药及 TPN 的新生儿应采取两路静脉通道轮流输液，正确的冲封管，外涂喜疗妥保护血管，严格控制 TPN 的渗透压，可有效减少输液外渗发生，皮肤坏死率低，减少护理纠纷，值得临床借鉴运用。

Objective：To improve transfusion safety while continuing to explore the infusion of vasoactive drugs and TPN neonatal intervention measures to protect vein infusion extravasation injury prevention. Methods：Will also be continuous infusion of vasoactive drugs and TPN with 80 newborns were divided into experimental group and control group,the experimental group with 2 way through indwelling intravenous infusion turns the channel,replaced with saline washed venous access sealed tube in extravascular apply a small amount Hirudoid. TPN with Excel tables to calculate the osmotic pressure of strict measures such as intervention and control group did not implement these interventions. Results：Experimentd group reduced the incidence of infusion extravasation, leakage of light leading to the degree of tissue necrosis significantly reduced the number of cases,prolonged catheter use,no extravasation caused by the infu-sion nursing disputes. Conclusion：For continuous infusion of vasoactive drugs and TPN newborns should take two - way channel turns intravenous infusion, correct red sealed tube,coated Hirudoid protect the blood vessels,and strictly control the osmotic pressure of TPN,which can effectively prevent the occur-rence of infusion extravasation,reduce the extravasation injury,prolonged catheter use and reduce nursing disputes,worthy of clinical reference use.