刘清霞+刘清芳

[摘要] 目的 正确使用一次性输液泵进行胃肠道肿瘤化疗输液，提高临床化疗效果，减轻化疗的毒副作用。方法2011年8月～2013年8月我科收治的胃肠道肿瘤患者230例，利用一次性输液泵进行化疗输液209例。观察和记录使用一次性输液泵进行化疗输液的情况，使用中出现的问题，分析原因并采取相应措施。 结果209例胃肠道肿瘤患者使用一次性输液泵进行化疗输液，未能按时完成输液有6例；出现堵管2例；留置针滑出血管1例；报警错误8例；其他问题2例。 结论 一次性输液泵用于胃肠道肿瘤患者的化疗输液有其优势，但其操作精度、输液量及输液速度计算、巡视要求、患者配合等与普通闭式静脉输液器相比要求更高；若使用中达不到要求也容易出现问题，采取相应的措施可减少这些问题的发生，保证胃肠道肿瘤患者能顺利完成全程化疗。

[关键词] 输液泵；化疗输液；问题；对策

[中图分类号] R735 [文献标识码] B [文章编号] 1673-9701（2014）17-0134-03

Problems and countermeasures of disposable transfusion pump applied in gastroenteric tumor chemotherapy transfusion

LIU Qingxia1 LIU Qingfang2

1.Second Department of Internal Medicine，Jiangxi Cancer Hospital，Nanchang 330029，China；2. Department of Pharmacy，Xingguo People's Hospital in Jiangxi Province，Xingguo 342400，China

[Abstract] Objective To improve the clinical effects and reduce the toxic and side effects of chemotherapy by applying disposable transfusion pump in gastroenteric tumor chemotherapy transfusion. Methods Of the 230 patients with gastrointestinal cancer admitted to our department from August 2011 to August 2013，209 patients used disposable transfusion pump for chemotherapy transfusion. The chemotherapy transfusion situation of disposable transfusion pump and the problems arising during usage were observed and recorded； The causes were analyzed and corresponding measures were taken. Results Of the 209 patients with gastroenteric cancer， 6 patients did not finish transfusion，2 patients had tube plugging，1 patient had remaining needle slipping off，8 patients had alarm mistake，and 2 patients had other problems. Conclusion For patients with gastroenteric cancer，disposable transfusion pump has advantages，but it has higher requirements than common closed transvenous transfusion apparatus in operation precision， transfusion quantity and transfusion speed calculation， tour requirements and patient cooperation. If the requirements are not met，problems are prone to occur； Relevant measures can reduce the occurrence of these problems in order to ensure the successful completion of chemotherapy for patients with gastroenteric cancer.

[Key words] Transfusion pump；Chemotherapy transfusion；Problems；Countermeasures

输液泵具有使用方便、剂量准确、速度可根据病情需要进行调节、能够及时将药物作用于患者[1]、报警系统灵敏、护理人员能够及时更换液体和迅速排除输液中的故障并保证输液安全的优点。尤其适合用于化疗药物浓度高、输液时间长的胃肠道肿瘤患者化疗输液。因此定时精确、流量可控、流速稳定、携带方便的一次性输液泵[2]，在胃肠道肿瘤化疗输液中倍受青睐。而一次性输液泵若使用不当，很容易影响化疗输液，使治疗效果大打折扣，甚至对患者造成一定伤害。……