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目的:观察危重患者救治中骨髓腔输液的应用价值。方法:选取2014年7月-2015年6月,江门市新会区人民医院收治的50例危重患者进行分组对照研究,结合临床随机表法将其平均地列入观察组与对照组,对照组患者借助于头皮针建立外周静脉通道,而观察组患者借助于骨髓穿刺针建立骨内通道,对两组患者的建立通道所需要的时间、输液速度以及输液后患者的血压恢复至正常水平的时间等指标进行对比研究。结果:观察组建立通道所需要的时间(2.5±0.8)min,输液速度(12.6±3.7)m L/min,输液后患者的血压恢复至正常水平的时间(13.6±3.7)min,对照组建立通道所需要的时间(8.5±2.2)min,输液速度(4.4±2.4)m L/min,输液后患者的血压恢复至正常水平的时间是(23.4±3.8)min,差异具有统计学意义(P<0.05)。结论:在危重患者的救治中,借助于骨髓穿刺针为患者建立骨内通道有利于实现迅速、安全以及有效的紧急救治目的。
Objective: To observe the value of marrow infusion in critically ill patients. Methods: From July 2014 to June 2015, 50 critically ill patients admitted to Xinmin District People’s Hospital of Jiangmen City were divided into control group and control group The patient established a peripheral venous access with the aid of scalp needles and the observation group established an intraosseous access with the aid of a bone marrow aspiration needle. The time required to establish the access route for both groups of patients, the infusion rate and the patient’s blood pressure returned to normal after infusion And other indicators for comparative study. Results: The time required to establish the channel in the observation group was (2.5 ± 0.8) min, the infusion rate was (12.6 ± 3.7) m L / min and the blood pressure returned to the normal level (13.6 ± 3.7) min after infusion, (8.5 ± 2.2) min and infusion rate (4.4 ± 2.4) m L / min, and the time to return to normal after blood transfusion was (23.4 ± 3.8) min, with significant difference (P <0.05). Conclusion: In the treatment of critically ill patients, the establishment of intraosseous access by means of bone marrow puncture needle is helpful for the prompt, safe and effective emergency treatment.