探讨静脉双通道方式减轻尼莫地平治疗的血管刺激反应.docVIP

精品论文 参考文献 探讨静脉双通道方式减轻尼莫地平治疗的血管刺激反应 刘莉平 王延芬 　　德阳市人民医院 618000 　　【摘要】目的：探讨静脉双通道方式减轻尼莫地平治疗蛛网膜下腔出血患者的血管刺激反应。方法：蛛网膜下腔出血治疗时，用尼莫地平注射液，剂型为10mg/50ml，抽取50ml注射液接于专用微泵持续泵入，治疗组以每4小时在双通道间交换尼莫地平通道一次，对照组以固定通道泵入，观察治疗过程中尼莫地平引起患者血管刺激疼痛程度及因静脉炎更换泵入部位次数。结果：治疗组患者因静脉炎更换泵入部位明显减少，且患者刺激疼痛及强度明显低于对照组。结论：以双通道方式能明显减少更换部位次数，减轻患者血管刺激疼痛感，从而患者依从性好。 　　【关键词】静脉双通道；蛛网膜下腔出血；尼莫地平；血管刺激 　　【中图分类号】R743 【文献标识码】A 　　Explore ways vein dual channel relieve nim horizon vascular stimulation reaction of treatment 　　Liu-li ping Wang-yan fen 　　Deyang city peoples hospital neurology 618000 　　【Abstract】Objective：to explore the way of vein dual channel relieve nim horizon vascular stimulation reaction for the treatment of patients with subarachnoid hemorrhage Therapy.Methods:subarachnoid hemorrhage with nim horizontal injection,dosage of 10mg/50ml,extract 50ml in the special micro pump for pumping fluids,the treatment group with every 4 hours between dual channel exchange of nim a horizontal channels,the control group with a fixed channel pumping,observed treatment process china-nepal mo caused vascular stimulation of pain degree and the horizon because of phlebitis pumping replacement part number.Results:the treatment group patients with phlebitis replacement pumping position significantly reduced,and the intensity of stimulation in patients with pain and significantly lower than the control group.Conclusion:with dual channel way can obviously decrease The Times of replacement parts and reduce vascular stimulation in patients with pain,and patient compliance is good. 　　【Key words】vein dual channel;Subarachnoid hemorrhage;Nim horizon;Vascular stimulation 　　蛛网膜下腔出血入住我院神经内科的病人多，而尼莫地平适用于各种原因引起的蛛网膜下腔出血后的血管痉挛和急性脑血管病恢复期的血液循环改善。传统方式为静脉单通道通过三通管输液，同时泵入尼莫地平，因治疗药物如甘油果糖、甘露醇等均为高渗性溶液，在输液过程中对患者的血管刺激性加大，故此课题旨在探讨以双通道方式能否减轻尼莫地平治疗蛛网膜下腔出血的血管刺激。(1)(2) 　　1治疗对象：以2012、8-2013、8因蛛网膜下腔出血入住我院神经内科的病人40例为治疗对象，男18例，女22例，年龄最小的20岁，最大的68岁。 　　2方法：把患者随机分为2组，尼莫地平泵入速度均为0.5ug/kg.min。选用患者粗大、弹性好的静脉血管。治疗组在患者身体2个部位安置美国3M公司留置针2颗，对照组在身体1个部位安置同规格留置针1颗。治疗组每4小时在静脉双通道间交