输血加温仪在40例新生儿外周动静脉同步换血术护理中应用.docVIP

输血加温仪在40例新生儿外周动静脉同步换血术护理中应用 　　摘 要 目的：探讨输血加温仪在新生儿外周动静脉同步换血术应用的可行性及必要性。方法：选择符合换血指征的80例新生儿根据换血顺序的奇偶数分为对照组和研究组各40例，对照组患儿在行新生儿外周动静脉同步换血术时，静脉输入通道的血液在室温下静置30 min后使用，而研究组患儿的血液用输血加温仪加温至37 ℃后使用。比较换血效果及对术后并发症的影响。结果：换血后两组患儿胆红素水平均明显下降，但比较无显著性差异（P0.05）。研究组患儿换血中寒颤、体温下降等不良反应发生率显著低于对照组（P0.05）。结论：采用输血加温仪对换血术中的血液进行加温，可有效减少术后患儿低温并发症发生率，提高换血效果。 　　关键词 输血加温仪 外周动静脉同步换血术 低温并发症 效果 　　中图分类号：R720.597； R722.17 文献标识码：B 文章编号：1006-1533（2017）19-0049-03 　　Application of blood transfusion heating apparatus in 40 neonates undergoing peripheral arteriovenous synchronous exchange transfusion 　　CHEN Bing* 　　（Department of Pediatrics， Wuzhou Gongren Hospital， 　　the Seventh Hospital affiliated to Guangxi Medical University， Wuzhou 543000， China） 　　ABSTRACT Objective： To investigate the feasibility and necessity of the application of blood transfusion heating in neonates undergoing peripheral arteriovenous synchronous exchange transfusion. Methods： Eighty cases of neonates with blood transfusion indications were divided into a control group and a study group with 40 cases each based on the odd and even number of their transfusion order. The peripheral arteriovenous synchronous exchange transfusion was performed after the blood was kept at room temperature for 30 minutes in the control group and heated to 37 ℃ in a heating apparatus in the study group. The effect and the incidence of postoperative complications were compared. Results： The bilirubin levels in the two groups were significantly decreased after transfusion， however， there were no significant differences between the two groups （P0.05）. The incidence of adverse reactions such as shaking chills and body temperature drop was significantly lower in the study group than in the control group （P0.05）. Conclusion： The method for heating the blood to 37℃ with a heating apparatus before transfusion can effectively reduce the incidence of hypothermia complication and improve the effect of exchange transfusion. 　　KEY WORDS blood heating equipment； p