CAJ | 학술논문

目的：调查研究深圳市长期多频次机采献血者体内钙磷代谢变化及口服葡萄糖酸钙改善柠檬酸盐抗凝剂不良反应护理。方法采用随机数字表法将56例献血者按照含有口服葡萄糖酸钙的方式，分为采集前补钙组20例，采集中补钙组19例，未补钙组17例。结果跟踪观察三组献血者的血清钙水平、磷水平以及PTH水平，均出现不同变化。在采集后60 min中未补钙组中血清PTH为（160.23±29.76）pg／ml，采集中补钙组为（121.75±43.12）pg／ml，采集前补钙组为（104.75±20.99）pg／ml，三者相比差异有统计学意义（ P＜0.05）。结论献血者机采前10 min口服葡萄糖酸钙，是补充钙剂的最佳时机，有利于改善献血者低钙症状，提高机采过程中的舒适度，确保献血安全。
목적：조사연구심수시장기다빈차궤채헌혈자체내개린대사변화급구복포도당산개개선저몽산염항응제불량반응호리。방법채용수궤수자표법장56례헌혈자안조함유구복포도당산개적방식，분위채집전보개조20례，채집중보개조19례，미보개조17례。결과근종관찰삼조헌혈자적혈청개수평、린수평이급PTH수평，균출현불동변화。재채집후60 min중미보개조중혈청PTH위（160.23±29.76）pg／ml，채집중보개조위（121.75±43.12）pg／ml，채집전보개조위（104.75±20.99）pg／ml，삼자상비차이유통계학의의（ P＜0.05）。결론헌혈자궤채전10 min구복포도당산개，시보충개제적최가시궤，유리우개선헌혈자저개증상，제고궤채과정중적서괄도，학보헌혈안전。
Objective To investigate calcium phosphate metabolic changes in the body of blood donors with long -term multi-fre-quency machine blood collection and the effect of oral calcium gluconate on improving the adverse reaction of the citrate anticoagulation . Methods By the method of random number table , 56 cases of blood donors were divided into three groups:calcium supplement before col-lecting group with 20 cases, calcium supplement when collecting group with 19 cases and no calcium supplement group with 17 cases.Results The serum calcium , phosphorus and PTH levels of blood donors were followed and observed , the changes appeared .After 60 min blood collection, in the group with no calcium supplement , the group with calcium supplement when collecting and the group with calcium supple-ment before collecting , serum PTH was respectively (160.23 ±29.76 ) pg/ml, (121.75 ±43.12 ) pg/ml and (104.75 ±20.99 ) pg/ml, there were differences in the three groups ( P<0.05 ) .Conclusions The best time of calcium supplementation with oral calcium gluconate is 10 minutesbefore collecting blood .It can improve hypocalcemia symptoms , improve comfort to ensure blood donationsafety.