输液管小壶滴入地塞米松预防碘过敏时导致不良反应的观察及护理

Observation of adverse reaction caused by iodine allergy treated by dexamethasone dripping by small pot of infusion tube and its nursing

目的观察输液管小壶滴入地塞米松预防碘过敏时导致不良反应类型并探寻护理对策。方法选取100例行经皮冠状动脉介入治疗术(PCI)治疗的冠状动脉粥样硬化性心脏病患者作为研究对象,随机分为对照组及研究组各50例,2组患者均采取输液管小壶滴入地塞米松以预防碘过敏,对照组接受常规护理,研究组接受细节护理,比较2组患者护理效果。结果研究组经细节护理,不良反应发生率10%、护理满意度90%,而同期对照组患者不良反应发生率24%、78%,组间差异具有统计学意义(P<0.05)。结论输液管小壶滴入地塞米松预防碘过敏时导致不良反应包括消化系统、肌肉系统、泌尿系统、皮肤系统、神经系统5种类型,对患者还是细节护理可显著降低不良反应发生率,具有重要的临床应用价值。

Objective To observe adverse reaction caused by iodine allergy treated by dexamethasone dripping by small pot of infusion tube and nursing countermeasures. Methods A total of100 patients with coronary atherosclerotic undergoing percutaneous coronary intervention therapy（ PCI） were randomly divided into control group and the study group,with 50 cases in each group.Patients of two groups adopt dexamethasone dripping by small pot of infusion tube to prevent iodine allergy. The control group received routine nursing while the study group received detail nursing,and nursing effect of patients was compared. Results The incidence of adverse reactions was 10% and the nursing satisfaction was 90% in the study group,and was 24% and 78%,respectively in the control group,the differences were statistically significant（ P 〈 0. 05）. Conclusion Adverse reactions caused by iodine allergy usually occur in digestive system,muscular system,urinary system,skin,and nervous system. Detail care can significantly reduce the incidence of adverse reactions,so it is of great importance in clinical application.