宋振好

[摘要] 目的 剖析热毒宁注射液+青霉素类注射剂输液不良反应的预防对策及应用价值。方法 按入组时间，将方便选取该院2014年2月—2016年5月纳入的120例上呼吸道感染病例等分成实验组与对照组。两组都行热毒宁注射液+青霉素类注射剂治疗，实验组于治疗期间积极采取5%葡萄糖注射液冲洗输液管路措施，对照组严格按照传统的用药方式对患者进行治疗。观察并比较两组的用药效果。 结果 实验组输液不良反应发生率为8.33%、患者满意率为95.00%，对照组分别为33.33%、81.67%。实验组明显优于对照组。两组对比差异有统计学意义（P<0.05）。 结论 于热毒宁注射液+青霉素类注射剂治疗期间，用5%葡萄糖注射液（100 mL）冲洗输液管路，可预防输液不良反应，改善患者预后。

[关键词] 青霉素类注射剂；预防措施；热毒宁注射液

[中图分类号] R28 [文献标识码] A [文章编号] 1674-0742（2017）01（c）-0140-03

Research on Application of Reduning Injection and Penicillins Injection in Preventing the Transfusion Adverse Reactions

SONG Zhen-hao

Health Management Center of Shengnan Community Management Center of Shengli Petroleum Administration， Dongying， Shandong Province， 257000 China

[Abstract] Objective To analyze the strategies and application value of reduning injection and penicillins injection in preventing the transfusion adverse reactions. Methods Convenient selection 120 cases of patients with upper respiratory tract infection admitted and treated in our hospital from February 2014 to May 2016 were divided into two groups according to the admission time， both groups were treated with the reduning injection and penicillins injection， the experimental group actively adopted the 5% glucose injection transfusion pipes flushing measures， while the control group adopted the traditional medication method， and the medication effect of the two groups was observed and compared. Results The incidence rate of adverse reactions and satisfactory rate in the experimental group were obviously better than those in the control group（8.33%， 95.00% vs 33.33%， 81.67%）， and the difference had statistical significance by comparison（P<0.05）. Conclusion During the treatment period of reduning injection and penicillins injection， the application of 5% glucose injection （100 mL） in flushing the transfusion pipes can prevent the adverse reactions of transfusion and improve the prognosis of patients.

[Key words] Penicillins injection； Preventive measures； Reduning injection

臨床上，上呼吸道感染比较常见，可严重影响患者的身心健康，降低生活质量。目前，热毒宁注射液[1]作为该疾病患者的一种主要治疗药物，虽能取得一定的成效，但患者发生不良反应的概率也较高。此外，也有报道[2]称，将热毒宁注射液和青霉素类注射剂进行联用时，患者更易产生输液不良反应，如：呼吸困难；荨麻疹；恶心呕吐；斑丘疹；腹痛；血压下降。故面对这一情况，还应积极采取针对性较高的措施，于患者用药期间对其进行有效的干预，以尽可能的降低输液不良反应发生率，提高临床治疗的效果，缩短患者住院时间。现代研究发现，利用5%葡萄糖注射液对患者输液管道进行有效的冲洗，可降低输液不良反应发生率。该研究以120例上呼吸道感染者（择取自2014年2月—2016年5月该院接诊的上呼吸道感染病例）为对象，对其热毒宁注射液+青霉素类注射剂输液不良反应的预防措施与效果进行详细剖析，现报道如下。……