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目的:探究痰热清静脉滴注过敏反应的特征及护理对策。方法:选取2012年7月-2015年3月本院接收的50例因静脉滴注痰热清所致过敏反应的患者为本次研究对象,详细分析其注射痰热清后过敏反应发生时间、临床表现及先兆症状等,并将2012年7月-2013年3月施以常规护理措施的25例患者为对照组,将2013年4月-2015年3月实施针对性护理干预的25例患者为观察组,对比两组过敏反应发生情况及护理效果。结果:在不良反应发生时间上,44例于用药过程中显现不良反应,12例<10 min,24例在10~30 min,6例在31~60 min之间,2例为61~120 min;在不良反应类型及临床表现上,其中皮肤及其附件区占32.0%,神经系统损害占24.0%,呼吸系统损害占12.0%,心血管系统占8.0%,全身反应占8.0%,消化系统占4.0%,视觉占4.0%,其他占8.0%;护理期间,观察组过敏反应发生率为4.00%较对照组的28.00%低,临床有效率为96.00%较对照组的72.00%高,差异具有统计学意义(P<0.05)。结论:在痰热清注射液应用时,应明确患者是否伴有过敏史,明确给药剂量、速度及适应证等,强化生理、心理护理及健康教育指导,能最大限度减少不良反应发生率,改善患者预后,临床须引起足够重视。
Objective: To investigate the characteristics and nursing countermeasures of allergic reactions caused by phlegm-heat infusion. Methods: Fifty patients admitted to our hospital from July 2012 to March 2015 were selected as subjects for this study. Their allergic reaction time after injection of phlegm-heat was analyzed in detail. Clinical manifestations and aura symptoms, and 25 patients with routine nursing intervention from July 2012 to March 2013 as control group, 25 patients who received targeted nursing intervention from April 2013 to March 2015 For the observation group, compared two groups of allergic reactions and nursing effects. RESULTS: Forty-four patients showed adverse reactions during the course of medication, 12 patients <10 min, 24 patients at 10-30 min, 6 patients at 31-60 min, and 2 patients at 61-120 min ; In the type of adverse reactions and clinical manifestations, skin and its annex area accounted for 32.0%, nervous system damage accounted for 24.0%, respiratory system damage accounted for 12.0%, cardiovascular system accounted for 8.0%, 8.0% of systemic reactions, the digestive system accounted for 4.0%, visual 4.0%, others accounted for 8.0%; nursing care during the observation group allergic reaction rate was 4.00% lower than the control group 28.00%, the clinical effective rate was 96.00% compared with 72.00% in the control group, the difference was statistically Significance (P <0.05). Conclusion: The application of Tanreqing injection should be clear whether the patient is accompanied by allergies, clear dose, speed and indications, etc., to strengthen the guidance of physiology, psychological care and health education, to minimize the incidence of adverse reactions, To improve the prognosis of patients, clinical attention should be paid enough attention.