2种续泵方式对使用血管活性药物患者的影响

摘要

Objective To evaluate the effects of two different pump refill methods on patients with vasoactive drugs infusion. Methods Sixty-eight patients with septic shock were divided into observation group and control group with 34 patients in each group. In observation group, double pumps were applied when refilling while in control group, traditional pump refill was used. The incidence of adverse event in two groups was recorded and systolic blood pressure and heart rate at different time in two groups were compared. Results There was significantly lower incidence of adverse events such as blood pressure decrease, heart rate change, arrhythmia and alterations in consciousness and patients were hemodynamically stable in observation group (P<0.05). Conclusion With double pumps while refilling, there is less occurrence of adverse event in septic shock patients taking vasoactive drugs.%　　目的评价2种续泵方式对使用血管活性药物患者产生的影响。方法将68例使用去甲肾上腺素联合多巴胺维持血压的感染性休克患者按入院顺序分为观察组和对照组各34例，观察组在续泵时采取双泵续泵的方式，对照组采用传统的续泵方式。记录两组患者发生血压下降、心率变化、心律失常、意识变化等不良事件的发生率，比较不同时间点两组的收缩压和心率。结果采用双泵续泵的观察组血压下降、心率变化、心律失常、意识变化的发生率明显低于对照组（P<0.05），血流动力学稳定性方面比较，观察组优于对照组。结论使用血管活性药物的感染性休克患者在续泵时采取双泵续泵的方式可降低不良事件的发生率。