呼吸内科危重患者应用主动输液模式的临床效果研究

Study on the Clinical Effect of Active Infusion in Critical Patients of Respiratory Medicine

目的探讨呼吸内科危重患者应用主动输液实践模式的临床效果。方法随机选取2015年5月至2016年9月我院呼吸内科收治的140例危重患者,根据随机数表法分为观察组和对照组,每组70例。对照组采取传统输液模式,观察组采取主动输液实践模式,比较两组患者的人均穿刺数、静脉输液方式、输液费用、输液并发症和患者的满意度。结果观察组采取中心静脉置管的比例和患者满意度均明显高于对照组(P<0.01),观察组的输液费用、人均穿刺数、药物外渗及静脉炎等输液并发症的发生率均明显低于对照组(P<0.01)。结论呼吸内科危重患者应用主动输液实践模式的临床效果良好,值得推广。

Objective To explore the clinical effect of active infusion practice in critically ill patients with respiratory diseases. Methods Randomly selected from May 2015 to September 2016 during the Department of Respiratory Medicine admitted 140 cases of critically ill patients, according to the random number table method is divided into observation group and control group, each group of 70 cases. In the control group, the traditional infusion mode was adopted. The active infusion practice mode was adopted in the observation group. The number of percutaneous puncture, the method of intravenous infusion, the infusion cost, the complication of infusion and the satisfaction of patients were compared. Results In the observation group, the proportion of the central venous catheter and patient satisfaction were significantly higher than those in the control group（P〈0.01）.The incidence of complications such as infusion costs, per capita puncture number, drug extravasation and phlebitis were significantly lower in the observation group than in the control group（P〈0.01）. Conclusion Application of active transfusion practice in critically ill patients with respiratory medicine has a good clinical effect and worthy of promotion.