中外健康文摘
中外健康文摘
중외건강문적
WORLD HEALTH DIGEST
2014年
3期
147-148
,共2页
静脉注射%地塞米松%不良反应
靜脈註射%地塞米鬆%不良反應
정맥주사%지새미송%불량반응
Intravenous%Dexamethasone%Adverse reactions
目的：研究不同方法小儿静脉注射地塞米松以减少恶心、呕吐不良反应，同时提高患儿对治疗的依从性，节约护理工作时间。方法将368名患儿随机分成3组。A组地塞米松原液直接静脉注射，时间5-10min；B组地塞米松原液加入茂菲氏滴管，入速20-40d/min； C组先由生理盐水接输液管待排气完毕后，取下生理盐水，换接其他正常输液组，再将地塞米松原液加入茂菲氏滴管，入速20-40d/m i n。观察三组治疗后1小时内恶心、呕吐不良反应发生情况以及患儿对三种方法的依从性和护理耗时情况的比较。结果 C组的方法能减少小儿静脉注射地塞米松引起的恶心呕吐等不良反应，提高患儿对治疗的依从性，护理耗时少。结论由茂菲氏滴管注入地塞米松时，输液管的残留液体为生理盐水，有利于降低静脉注射地塞米松所致的恶心呕吐机率，患儿的依从性好，宜于护士操作，提高了用药的安全性及护理质量。
目的：研究不同方法小兒靜脈註射地塞米鬆以減少噁心、嘔吐不良反應，同時提高患兒對治療的依從性，節約護理工作時間。方法將368名患兒隨機分成3組。A組地塞米鬆原液直接靜脈註射，時間5-10min；B組地塞米鬆原液加入茂菲氏滴管，入速20-40d/min； C組先由生理鹽水接輸液管待排氣完畢後，取下生理鹽水，換接其他正常輸液組，再將地塞米鬆原液加入茂菲氏滴管，入速20-40d/m i n。觀察三組治療後1小時內噁心、嘔吐不良反應髮生情況以及患兒對三種方法的依從性和護理耗時情況的比較。結果 C組的方法能減少小兒靜脈註射地塞米鬆引起的噁心嘔吐等不良反應，提高患兒對治療的依從性，護理耗時少。結論由茂菲氏滴管註入地塞米鬆時，輸液管的殘留液體為生理鹽水，有利于降低靜脈註射地塞米鬆所緻的噁心嘔吐機率，患兒的依從性好，宜于護士操作，提高瞭用藥的安全性及護理質量。
목적：연구불동방법소인정맥주사지새미송이감소악심、구토불량반응，동시제고환인대치료적의종성，절약호리공작시간。방법장368명환인수궤분성3조。A조지새미송원액직접정맥주사，시간5-10min；B조지새미송원액가입무비씨적관，입속20-40d/min； C조선유생리염수접수액관대배기완필후，취하생리염수，환접기타정상수액조，재장지새미송원액가입무비씨적관，입속20-40d/m i n。관찰삼조치료후1소시내악심、구토불량반응발생정황이급환인대삼충방법적의종성화호리모시정황적비교。결과 C조적방법능감소소인정맥주사지새미송인기적악심구토등불량반응，제고환인대치료적의종성，호리모시소。결론유무비씨적관주입지새미송시，수액관적잔류액체위생리염수，유리우강저정맥주사지새미송소치적악심구토궤솔，환인적의종성호，의우호사조작，제고료용약적안전성급호리질량。
Objective:Different methods pediatric intravenous dexamethasone to reduce nausea, vomiting adverse reactions, while improving the adherence to the treatment of children, save nursing time. Methods :The 368 children were randomly divided into three groups. Group A direct intravenous injection of dexamethasone dope time 5-10min; Group B dexamethasone dope to join Murphy's dropper, into the speed 20-40d/min; Group C first by saline infusion tube connected to the exhaust to be finished after remove the saline infusion for access other normal group, Dexamethasone dope then added Murphy's dropper, nto speed 20-40d/min. The three groups was observed within 1 hour after treatment of nausea, compared to the situation and the method of three children compliance consuming and care conditions emesis adverse Results :The method can reduce the pediatric group C intravenous dexamethasone-induced nausea and vomiting and other adverse reactions in children to improve adherence to treatment, care less time-consuming. Conclusion: When injected into the Murphy's dropper dexamethasone, the residual liquid is saline infusion tube, help to reduce intravenous dexamethasone-induced nausea and vomiting probability of good compliance in children, it is appropriate nurses to operate and improve the safety and quality of care medication.
