摘要
目的探讨分析两种冲洗液在持续有创血压监测中的应用。方法选取该院2016年3月—2017年3月ICU收治的80例危重患者,随机分为对照组和研究组,给予对照组患者肝素钠氯化钠溶液冲洗管路,给予研究组患者氯化钠冲洗管路,对比分析两组患者血凝检验指标和并发症发生率等。结果对比分析两组患者血凝检验结果,研究组患者凝血酶原时间(28.83±3.53)s,活化凝血活酶时间(9.55±1.37)s,国际标准化比例(1.02±0.18)显著优于对照组患者(31.11±4.11)s,(10.45±2.09)s,(1.10±0.13),(t=1.257,t=2.174,t=2.268,P<0.05);对照组患者出血发生率为27.5%,研究组患者出血发生率为2.5%,两组患者在出血发生率上差异有统计学意义(χ~2=5.564,P<0.05);两组患者在感染率和堵塞率方面差异无统计学意义(χ~2=0.246、0.298,P>0.05)。结论在实施持续有创血压监测当中,给予患者0.9%氯化钠确保测压系统畅通,安全性比较高。
Objective To investigate the application of two kinds of irrigation fluids in continuous invasive blood pressure monitoring. Methods 80 patients with critically ill patients admitted to the hospital from March 2016 to March 2017 were randomly divided into control group and study group. The control group was treated with heparin sodium chloride solution to flush the tube and the study group was chlorinated sodium flushing line, comparative analysis of blood coagulation test indicators and complication rate of the two groups of patients. Results The blood coagulation test results of the two groups were compared. The prothrombin time （28.83±3.53）s, the activated thromboplastin time （9.55±1.37）s, and the international standardized ratio （1.02±0.18） were significantly better than the control group （31.11±4.11）s, （10.45±2.09）s,（1.10±0.13）,（t=1.257,t=2.174,t=2.268,P〈0.05）; the bleeding rate in the control group was 27.5%, and the bleeding rate in the study group was 2.5%. There was a significant difference in the incidence of bleeding between the two groups（χ2=5.564, P〈0.05）; There was no significant difference in the infection rate and occlusion rate between the patients（χ2=0.246, 0.298, respectively, P〉0.05）. Conclusion In the implementation of continuous invasive blood pressure monitoring, 0.9% sodium chloride was given to the patient to ensure the smoothness of the pressure measurement system and the safety was relatively high.
作者
王丽丽
马梅
孟雷雷
WANG Li-li;MA Mei;MENG Lei-lei(Intensive Care Unit,Suzhou Jiulong Hospital,Suzhou,Jiangsu Province,215000 China)
出处
《系统医学》
2018年第19期163-165,共3页
Systems Medicine
关键词
氯化钠
肝素
有创血压
监测
Sodium chloride
Heparin
Invasive blood pressure
Monitoring
