摘要
目的探讨静脉留置针配合输液泵在产科硫酸镁点滴中的应用效果。方法采用回顾性分析的方法，将因妊娠期高血压疾病、先兆流产，需要点滴硫酸镁的孕产妇110例，根据静脉穿刺器具分为静脉留置针配合输液泵观察组60例和7号头皮针对照组50例，比较两组不间断完成输液情况，输液期间发生液体外渗、针头脱出或堵塞等不良反应，医师及孕妇满意度。结果留置针观察组在规定浓度和时间内输液完成率为93．3％，明显优于头皮针对照组62．0％,χ2=17．2261，P〈0．01。留置针观察组输液不良反应发生率为11．7％，显著低于头皮针对照组48．0％,χ2=17．7883，P〈0．01。观察组医师和孕妇及家属对输液满意度分别为91．7％和85．0％，与对照组对输液满意度48．0％和44．0％相比较，差异均有统计学意义（χ2分别为37．9287、26．1859，均P〈0．01）。结论使用静脉留置针配合输液泵输注，有利于保证硫酸镁在血液中的有效浓度和持续时间，确保治疗效果及提高医师和孕妇满意度。
Objective To investigate the application effect of venous indwelling needle in combination with infusion pump in obstetric drips of magnesium sulfate. Methods With retrospective analysis, 110 maternal cases needing magnesium sulfate drip because of hypertensive disorder complicating pregnancy or threatened abortion were divided into two groups according to vein puncture apparatus ： observation group （60 cases ） using venous indwelling needle in combination with infusion pump and control group （50 cases ） using No. 7 scalp acupuncture. Then the completion rates of uninterrupted infusion, untoward effects such as liquid extravasations and needle prolapse or blockage during infusion, and the satisfaction degree of doctors and pregnant women between two groups were compared. Results The rate of completing infusion with prescribed concentration and time in observation group was 93.3%, which was significantly higher than in control group （62.0%）（ χ 2= 17. 2261,P 〈0.01）. The incidence of untoward effects in observation group was 11.7%, which was obviously lower than in control group （48.0%） （χ2 = 17. 7883 ,P 〈0.01 ）. The satisfaction degree of doctors and of pregnant women as well as their family members in observation group were 91.7% and 85.0%, respectively, which were 48.0% and 44.0%, respectively in control group, and the differences were statistically significant （χ2 value was 37. 9287 and 26. 1859, respectively, both P 〈 0.01 ）. Conclusion The combination of infusion pump and venous indwelling needle can guarantee the effective concentration and duration of magnesium sulfate in blood, ensure the treatment effect and improve the satisfaction degree of doctors and pregnant women.
出处
《中国妇幼健康研究》
2012年第6期777-779,共3页
Chinese Journal of Woman and Child Health Research
关键词
硫酸镁
静脉留置针
输液泵
满意度
magnesium sulfate
venous indwelling needle
infusion pump
satisfaction degree
