摘要
经微量泵给予血管活性药物被广泛使用，在续泵方法上存在“管对管法”“管对泵法”“泵对泵法”“双泵并行泵速折半法”“双泵并行泵速渐降法”以及应用“智能续泵”系统等，并有各自的优势及局限性，临床往往通过选择更安全的续泵方法来尽可能避免血流动力学指标的波动。续泵过程中保持患者血流动力学稳定至关重要，但在医疗及医疗保险付费方式改革的大环境下，控制耗材成本也要得到关注。建议进一步深入研究，得出不同血管活性药物在不同给药剂量时，对血流动力学指标产生临床影响的临界值或范围，为临床选择最佳的续泵方法提供依据。
The Micro-infusion syringe pump has been widely used in infusion of various vasoactive agents. There are several modes of syringe replacement with advantages or limitations respectively. It is important to maintain the stability of hemodynamic parameters during the syringe replacement. In the times of the reformation of medical and medical insurance payment, it is worth paying attention to monitor costs of medical consumables. The large sample muhicenter study is needed to reveal the relationships between the hemodynamic parameters and the sorts and volume of various vasoactive agents. It will provide the basis for the clinical choice of syringe replacement modes.
作者
王蕾
关欣
Wang Lei;Guan Xin(the Second Inpatient Department, Beijing Hospital, National Center of Gerontology, Beijing 100730, China)
出处
《中国实用护理杂志》
2018年第15期1125-1129,共5页
Chinese Journal of Practical Nursing
关键词
血管活性药
微量注射泵
更换
输注
Vasoactive agent
Micro-infusion syringe pump
Replacement mode
Infusion
