电解质危急值制度在社区医院中的建立与应用体会.docVIP

电解质危急值制度在社区医院中的建立与应用体会 　　[摘要] 目的 探讨电解质危急值制度在社区医院中的建立方法，并分析其应用价值。 方法 选取2010年1月～2012年12月本院收治的电解质紊乱患者120例，将2011年12月31日前未实施干预者60例作为未干预组，2012年1月1日实施电解质危急值制度后的60例患者作为干预组，使用IMS-972电解质分析仪进行血钾、血钠、血钙及血氯的分析，并由检验科提出危急值方案，送临床科室审核、协商并经医院领导批复后进行采样时间、样本质量及放置时间、操作方法等的严格控制，比较两组有意义危急值的检出情况。 结果 干预组低钾、低钠、高钾和高钠有效检出率均显著高于未干预组（P 0.05）。 结论 社区电解质检验危急值制度的确立，能有效挽救患者生命，提高救治效果。 　　[关键词] 电解质；危急值制度；社区医院；建立；应用 　　[中图分类号] R446.11 [文献标识码] C [文章编号] 1674-4721（2013）07（a）-0080-02 　　The establishment and application of electrolytes experience critical value system in the community hospital 　　WENG Xiao-ying 　　Linqi Center Hospital of Chunan County in Hangzhou City，Chunan 311703，China 　　[Abstract] Objective To explore the method of establishing system of electrolytes experience critical value system in the community hospital and analyze its application value.Methods One hundred and twenty cases of patients with electrolyte imbalance in our hospital from January 2010 to December 2012 were selected，of whom 60 cases before December 31，2011 were as non-intervention group，60 cases after January 1，2012 were as intervention group，all were used IMS-972 electrolyte analyzer blood sodium，calcium and blood chlorine，and blood potassium after intervention by the inspection department proposed critical values，strictly controled the supply of clinical departments audit，consultation and hospital leaders approved by sampling time，the sample quality and the time，method of operation，and the critical value of patients report system were compared with electrolyte and meaningful critical values were compared bwtween two groups.Results In intervention group，low potassium，low sodium，high potassium，high sodium of effective detection rate were higher than those of non-intervention group （P 0.05）.Conclusion Electrolytes critical value system establishment can effectively save the lives of patients and improve the treatment effect. 　　[Key words] Electrolytes；Critical value system；Community hospital；Establishment；Applicatio