中华现代护理杂志
中華現代護理雜誌
중화현대호리잡지
CHINESE JOURNAL OF MODERN NURSING
2011年
17期
2086-2087
,共2页
施雪雁%范爱飞%彭丽萍%龚海琴
施雪雁%範愛飛%彭麗萍%龔海琴
시설안%범애비%팽려평%공해금
破伤风抗毒素(TAT)%皮试液%皮肤过敏试验%注射用水%生理盐水
破傷風抗毒素(TAT)%皮試液%皮膚過敏試驗%註射用水%生理鹽水
파상풍항독소(TAT)%피시액%피부과민시험%주사용수%생리염수
Tetanus antitoxin (TAT)%Skin test solution%Skin allergy test%Water for injection%Saline
目的 观察2种不同溶媒配制破伤风抗毒素(TAT)皮试液对皮试结果的影响.方法 将因外伤需要注射TAT的患者237例随机分为甲组117例和乙组120例,分别使用注射用水配制的TAT皮试液和生理盐水配制的TAT皮试液做皮肤过敏试验,观察两组患者的皮试结果,对比两组皮试结果阳性率以及患者自感疼痛度的高低.结果 甲组患者皮试结果阳性率明显高于乙组,差异具有统计学意义(34.19%比17.50%,χ2=8.631,P<0.01),且患者自感疼痛度也高于乙组.甲组皮试结果阳性的患者(40例)在改用生理盐水配制的TAT皮试液做皮试后,17例(42.50%)患者皮试结果转为阴性.结论 用注射用水配制的TAT皮试液做皮肤试验,可出现较高的假阳性率,建议采用生理盐水配制TAT皮试液,以减少假阳性率的出现,从而减少不必要的脱敏注射,减轻患者痛苦,提高护士工作效率.
目的 觀察2種不同溶媒配製破傷風抗毒素(TAT)皮試液對皮試結果的影響.方法 將因外傷需要註射TAT的患者237例隨機分為甲組117例和乙組120例,分彆使用註射用水配製的TAT皮試液和生理鹽水配製的TAT皮試液做皮膚過敏試驗,觀察兩組患者的皮試結果,對比兩組皮試結果暘性率以及患者自感疼痛度的高低.結果 甲組患者皮試結果暘性率明顯高于乙組,差異具有統計學意義(34.19%比17.50%,χ2=8.631,P<0.01),且患者自感疼痛度也高于乙組.甲組皮試結果暘性的患者(40例)在改用生理鹽水配製的TAT皮試液做皮試後,17例(42.50%)患者皮試結果轉為陰性.結論 用註射用水配製的TAT皮試液做皮膚試驗,可齣現較高的假暘性率,建議採用生理鹽水配製TAT皮試液,以減少假暘性率的齣現,從而減少不必要的脫敏註射,減輕患者痛苦,提高護士工作效率.
목적 관찰2충불동용매배제파상풍항독소(TAT)피시액대피시결과적영향.방법 장인외상수요주사TAT적환자237례수궤분위갑조117례화을조120례,분별사용주사용수배제적TAT피시액화생리염수배제적TAT피시액주피부과민시험,관찰량조환자적피시결과,대비량조피시결과양성솔이급환자자감동통도적고저.결과 갑조환자피시결과양성솔명현고우을조,차이구유통계학의의(34.19%비17.50%,χ2=8.631,P<0.01),차환자자감동통도야고우을조.갑조피시결과양성적환자(40례)재개용생리염수배제적TAT피시액주피시후,17례(42.50%)환자피시결과전위음성.결론 용주사용수배제적TAT피시액주피부시험,가출현교고적가양성솔,건의채용생리염수배제TAT피시액,이감소가양성솔적출현,종이감소불필요적탈민주사,감경환자통고,제고호사공작효솔.
Objective To observe skin test results of tetanus antitoxin prepared by different solvents.Methods Patients who needed injecting tetanus antitoxin as required by trauma were randomly divided into two groups, Group A and Group B, respectively. Group A was administered with tetanus antitoxin prepared by water for injection, while Group B with tetanus antitoxin prepared by saline. Skin test results were observed, the incidence of positive skin test results and self-inductance of pain intensity were compared.Results The incidence of positive skin test results in Group A was significantly higher than that in Group B (34.19% vs 17.50%,χ2=8.631,P<0.01), and the self-inductance of pain intensity were also greater than that in Group B. Patients with positive skin test results (40 patients) in Group A, were later injected tetanus antitoxin prepared by saline, 42.50% of them (17 patients) shown negative skin test results.Conclusions There might be a high false positive rate by using tetanus antitoxin prepared by water for injection; therefore tetanus antitoxin prepared by saline is recommended, for it could decrease the false positive rate, reduce unnecessary desensitization injections, alleviate patients' pain and improve nurses' work efficiency.