人工肝血浆置换术中葡萄糖酸钙静滴与静推的临床效果比较

Comparison of Clinical Effects of Calcium Gluconate Intravenous Infusion and Intravenous Massage in Artificial Liver Plasma Exchange

目的对人工肝血浆置换术中葡萄糖酸钙不同用药方法在预防不良反应护理中应用的效果进行对比。方法方便选取2017年12月-2019年12月期间130例行人工肝血浆置换术患者,随机分为观察组与对照组,每组65例。对照组血浆置换时给予葡萄糖酸钙分次静脉推注,观察组血浆置换时给予葡萄糖酸钙静脉持续滴注,对两组不良反应发生情况及护理满意度进行对比。结果在不良反应发生率方面,观察组中1例出现荨麻疹、1例出现皮肤瘙痒,发生率为3.08%,对照组中,4例出现荨麻疹、2例出现皮肤瘙痒、3例出现寒战发热、2例出现低钙血症,发生率为16.92%,差异有统计学意义(χ^(2)=6.923,P<0.05);护理满意度对比,观察组非常满意43例(66.15%)、满意20例(30.77%)、不满意2例(3.08%),满意度为63例(96.92%),对照组中,非常满意31例(47.69%)、满意21例(32.31%)、不满意13例(20.00%),满意度为52例(80.00%),观察组高于对照组,差异有统计学意义(χ^(2)=9.119,P<0.05)。结论在人工肝血浆置换术中,对患者护理中,持续给予患者葡萄糖酸钙静脉滴注,可有效减少手术不良反应的发生,对护理质量的提升有促进作用。

Objective To compare the effects of different medication methods of calcium gluconate in the prevention of adverse reactions during artificial liver plasma exchange.Methods From December 2017 to December 2019,130 patients undergoing artificial liver plasma exchange were conveniently selected and randomly divided into observation group and control group,with 65 cases in each group.The control group was given intravenous bolus of calcium gluconate during plasma exchange,and the observation group was given continuous intravenous infusion of calcium gluconate during plasma exchange.The occurrence of adverse reactions and nursing satisfaction were compared between the two groups.Results In terms of the incidence of adverse reactions,in the observation group,1 case had urticaria,1 case had pruritus,and the incidence was 3.08%.In the control group,4 cases had urticaria,2 cases had pruritus,and 3 cases had chills and fever.2 cases of hypocalcemia,the incidence rate was 16.92%,the difference was statistically significant(χ^(2)=6.923,P<0.05);compared with nursing satisfaction,the observation group was very satisfied with 43 cases(66.15%)and 20 cases(30.77%),dissatisfied 2 cases(3.08%),satisfaction rate was 63 cases(96.92%),in the control group,very satisfied 31 cases(47.69%),satisfied 21 cases(32.31%),and dissatisfied 13 cases(20.00%),the satisfaction degree was 52 cases(80.00%),the observation group was higher than the control group,the difference was statistically significant(χ^(2)=9.119,P<0.05).Conclusion In the artificial liver plasma exchange operation,continuous intravenous infusion of calcium gluconate can effectively reduce the occurrence of adverse surgical reactions and promote the improvement of nursing quality.