早产儿静脉输液药物渗出的原因分析及护理对策

Causes analysis and nursing strategy of preterm children intravenous drug leaking

目的探究早产儿静脉输液药物渗出的原因及有效护理对策的选择。方法回顾性分析我院2011年2月至2014年1月收治的出现静脉输液高位药物渗出的早产儿89例,按其所用护理方法不同分为两组,使用儿科常规护理者48例为对照组,使用护理干预措施者41例为干预组。分析所纳入病例静脉输入出现高位药物渗出的原因,并比较不同的护理措施对两组病患的疗效。结果 78例病患因药物p H值、浓度、渗透压及药物在细胞中固有的代谢作用所致静脉输注药物外渗,剩余11例因进行操作的护士知识掌握与技能熟练程度不够所致;采取护理干预措施的病患疗效较常规护理的病患显著(P<0.05)。结论深入分析早产儿静脉输注药物外渗的原因,并及时对可能存在的影响因素进行护理干预,可显著改善症状,防治药物渗出。

Objective To explore the preterm children intravenous drug exudation causes and effective countermeasures care choices .Methods A retrospective analysis of our hospital in February 2011-January 2014 admitted to the emergence of high intravenous drug seeping preterm children 89 cases, according to the method they use different treatments divided into two groups , the use of routine pediatric care in 48 cases the control group, the use of nursing interventions for the intervention group were 41 cases.Analysis included cases of high drug infusion exuded reason appears and compare the efficacy of two nursing patients .Results 78 cases of patients because of drug PH value , metabolism concentration , osmotic pressure , and drug-induced inherent in the cell extravasation of intravenous drugs , and the remaining 11 cases the nurses knowledge and skills to master proficiency to operate due to insufficient due ; take care interventions compared with usual care patients the efficacy of patients was significantly (P<0.05).Conclusions In-depth analysis of preterm children intravenous drug extravasation causes and factors that may affect the timely presence of nursing intervention can significantly improve symptoms , prevention and treatment of drug leakage .