摘要
目的分析我院3例患者使用注射用泮托拉唑钠后发生静脉炎并且遗留后遗症的原因,探讨预防静脉炎的有效措施,为临床合理用药提供参考。方法采用回顾性研究方法,调取3例患者病案资料、用药医嘱等信息,通过查阅文献及现场调研等方法分析患者发生静脉炎的原因。结果患者发生静脉炎主要与注射用泮托拉唑溶媒量不足、药物浓度高且使用时间长有关,也可能与留置针使用不当及输液血管护理措施不到位有关。结论静脉滴注注射用泮托拉唑钠时,应严格按照说明书的规定使用0.9%氯化钠注射液100~250 mL稀释,且留置针输液期间可采取多磺酸粘多糖乳膏、硫酸镁湿热敷等措施减少静脉炎的发生。
Objective To analyze the causes of phlebitis and sequelae in 3 patients in our hospital after using pantoprazole sodium for injection,explore effective measures to prevent phlebitis,and provide references for clinical rational use of drugs.Methods A retrospective study was conducted to collect the medical records,medical advice and other information of three patients,and the causes of phlebitis through literature review and field investigation was analyzed.Results The occurrence of phlebitis in patients is mainly related to insufficient amount of pantoprazole for injection,high drug concentration and long use time.It may also be related to improper use of indwelling needles and inadequate care measures for infusion vessels.Conclusion When pantoprazole sodium for injection is injected intravenously,it should be diluted with 100-250 mL of 0.9%sodium chloride injection in strict accordance with the instructions.And during the infusion of indwelling needle,measures such as polysulfonate mucopolysaccharide cream and magnesium sulfate wet hot compress can be taken to reduce the occurrence of phlebitis.
作者
黄继霞
王公平
魏青
李伟华
杨晓娟
HUANG Jixia;WANG Gongping;WEI Qing;LI Weihua;YANG Xiaojuan(Pharmacy Department,Xi'an Daxing Hospital,Xi'an 710000,China)
出处
《临床医学研究与实践》
2020年第28期16-18,共3页
Clinical Research and Practice
关键词
注射用泮托拉唑钠
静脉炎
用药安全
pantoprazole sodium for injection
phlebitis
medication safety
