中国实用护理杂志
中國實用護理雜誌
중국실용호리잡지
CHINESE JOURNAL OF PRACTICAL NURSING
2014年
20期
55-59
,共5页
静脉用药%配伍%禁忌%文献分析%预防
靜脈用藥%配伍%禁忌%文獻分析%預防
정맥용약%배오%금기%문헌분석%예방
Intravenous infusion%Compatibility of Medicine%Contraindication%Literature analysis%Prevention
目的 了解临床常见静脉用药发生的配伍禁忌状况,探讨药物配伍变化规律,促进临床合理用药,减少护患纠纷和药物不良反应发生,确保患者用药安全.方法 检索2000年至2013年万方数据库中《中华护理杂志》、《中华现代护理杂志》、《中国实用护理杂志》报道的临床药物相互配伍时发生配伍禁忌的文献报道,对涉及注射剂配伍禁忌的期刊分布数量、药物配伍种类、配伍变化类型、对患者的影响等情况进行汇总分析.结果 925期杂志中共有688篇配伍禁忌文献报道,其中涉及药物700种,与之配伍药物824种;报道较多的药物为:夫西地酸钠、氨溴索注射液、注射用头孢匹胺钠、注射用头孢哌酮舒巴坦钠、注射用泮托拉唑.主要配伍变化有混浊、产生沉淀、出现絮状物、变色反应、结晶、气泡等;对患者基本未造成影响.结论 很多药物配伍变化具有一定的规律,临床用药时应注意合理配置和使用,护理人员应掌握药物配伍相关知识和药物配伍变化规律,采取有效措施可避免发生理化性质的变化,能有效促进临床用药安全.
目的 瞭解臨床常見靜脈用藥髮生的配伍禁忌狀況,探討藥物配伍變化規律,促進臨床閤理用藥,減少護患糾紛和藥物不良反應髮生,確保患者用藥安全.方法 檢索2000年至2013年萬方數據庫中《中華護理雜誌》、《中華現代護理雜誌》、《中國實用護理雜誌》報道的臨床藥物相互配伍時髮生配伍禁忌的文獻報道,對涉及註射劑配伍禁忌的期刊分佈數量、藥物配伍種類、配伍變化類型、對患者的影響等情況進行彙總分析.結果 925期雜誌中共有688篇配伍禁忌文獻報道,其中涉及藥物700種,與之配伍藥物824種;報道較多的藥物為:伕西地痠鈉、氨溴索註射液、註射用頭孢匹胺鈉、註射用頭孢哌酮舒巴坦鈉、註射用泮託拉唑.主要配伍變化有混濁、產生沉澱、齣現絮狀物、變色反應、結晶、氣泡等;對患者基本未造成影響.結論 很多藥物配伍變化具有一定的規律,臨床用藥時應註意閤理配置和使用,護理人員應掌握藥物配伍相關知識和藥物配伍變化規律,採取有效措施可避免髮生理化性質的變化,能有效促進臨床用藥安全.
목적 료해림상상견정맥용약발생적배오금기상황,탐토약물배오변화규률,촉진림상합리용약,감소호환규분화약물불량반응발생,학보환자용약안전.방법 검색2000년지2013년만방수거고중《중화호리잡지》、《중화현대호리잡지》、《중국실용호리잡지》보도적림상약물상호배오시발생배오금기적문헌보도,대섭급주사제배오금기적기간분포수량、약물배오충류、배오변화류형、대환자적영향등정황진행회총분석.결과 925기잡지중공유688편배오금기문헌보도,기중섭급약물700충,여지배오약물824충;보도교다적약물위:부서지산납、안추색주사액、주사용두포필알납、주사용두포고동서파탄납、주사용반탁랍서.주요배오변화유혼탁、산생침정、출현서상물、변색반응、결정、기포등;대환자기본미조성영향.결론 흔다약물배오변화구유일정적규률,림상용약시응주의합리배치화사용,호리인원응장악약물배오상관지식화약물배오변화규률,채취유효조시가피면발생이화성질적변화,능유효촉진림상용약안전.
Objective To investigate the clinical condition of incompatibility of common intravenous drug use,investigate variation of drug compatibility and promote rational drug use,reduce nurse-patient disputes and adverse drug reactions occurrence,ensure patient medication safety.Methods To search articles about drug incompatibility by retrieving the Articles Database such as "Chinese Journal of Nursing","Chinese Journal of Modern Nursing","Chinese Journal of Practical Nursing " from 2000 to 2013.The reported clinical drug incompatibility in the literature,involving the number of periodicals dealt with incompatibility,the type of drug compatibility,change of compatibility type,and other circumstances affecting patients were analyzed.Results In a total of 925 issued periodicals,688 articles reported incompatibility,which involved 700 types of drugs,compatibility of drug B involving 824 kinds.The common reported drugs were sodium fusidate,ambroxol injection,pantoprazole sodium omeprazole sodium,vinpocetine.The major compatibility changes were color reaction,turbidity,there-floe or precipitate,bubbles,etc.The incompatibility did not affect the patients generally.Conclusions The incompatibility of many drugs showed certain regular pattern.We should pay attention to the rational confect and clinical use.Nurses should master related knowledge and compatibility variation of the drugs,take effective measures to avoid the occurrence of changes in physical and chemical properties,and effectively promote clinical safety.
