CAJ | 학술논문

　　目的评价2种续泵方式对使用血管活性药物患者产生的影响。方法将68例使用去甲肾上腺素联合多巴胺维持血压的感染性休克患者按入院顺序分为观察组和对照组各34例，观察组在续泵时采取双泵续泵的方式，对照组采用传统的续泵方式。记录两组患者发生血压下降、心率变化、心律失常、意识变化等不良事件的发生率，比较不同时间点两组的收缩压和心率。结果采用双泵续泵的观察组血压下降、心率变化、心律失常、意识变化的发生率明显低于对照组（P<0.05），血流动力学稳定性方面比较，观察组优于对照组。结论使用血管活性药物的感染性休克患者在续泵时采取双泵续泵的方式可降低不良事件的发生率。
　　목적평개2충속빙방식대사용혈관활성약물환자산생적영향。방법장68례사용거갑신상선소연합다파알유지혈압적감염성휴극환자안입원순서분위관찰조화대조조각34례，관찰조재속빙시채취쌍빙속빙적방식，대조조채용전통적속빙방식。기록량조환자발생혈압하강、심솔변화、심률실상、의식변화등불량사건적발생솔，비교불동시간점량조적수축압화심솔。결과채용쌍빙속빙적관찰조혈압하강、심솔변화、심률실상、의식변화적발생솔명현저우대조조（P<0.05），혈류동역학은정성방면비교，관찰조우우대조조。결론사용혈관활성약물적감염성휴극환자재속빙시채취쌍빙속빙적방식가강저불량사건적발생솔。
Objective To evaluate the effects of two different pump refill methods on patients with vasoactive drugs infusion. Methods Sixty-eight patients with septic shock were divided into observation group and control group with 34 patients in each group. In observation group, double pumps were applied when refilling while in control group, traditional pump refill was used. The incidence of adverse event in two groups was recorded and systolic blood pressure and heart rate at different time in two groups were compared. Results There was significantly lower incidence of adverse events such as blood pressure decrease, heart rate change, arrhythmia and alterations in consciousness and patients were hemodynamically stable in observation group (P<0.05). Conclusion With double pumps while refilling, there is less occurrence of adverse event in septic shock patients taking vasoactive drugs.