急诊输液患者抗生素药物不良反应原因剖析及护理.docVIP

急诊输液患者抗生素药物不良反应原因剖析及护理 　　[摘要] 目的 对急诊输液患者抗生素药物不良反应的原因进行探讨，并研究其护理方法。方法 方便收集2015年8月―2016年8月180例在该院急诊输液出现抗生素药物不良反应的患者病例资料，对其不良反应症状及原因进行分析与总结，并提出护理措施。结果 在180例急诊输液患者中，呼吸系统疾病44例，胃肠感染64例，泌尿系统感染54例，其他部位感染18例。其中青霉素类抗生素引起不良反应25例，占13.89%；头孢类抗生素引起不良反应86例，占47.78%；β-内酰胺类的抗生素引起不良反应42例，23.33%；其他类27例，占15.00%，各种类对比差异无统计学意义（P 0.05）；经对症治疗及护理干预后，痊愈166例，占92.22%，好转14例，占7.78%。结论 对抗生素药物不良反应的原因进行分析，加强抗生素不良反应的护理，能够有效确保急诊输液患者的用药安全。 　　[关键词] 急诊输液患者 ；抗生素药物；不良反应；原因；护理 　　[中图分类号] R5 [文献标识码] A [文章编号] 1674-0742（2017）03（b）-0155-03 　　[Abstract] Objective To study the causes of antibacterial drugs adverse reactions of patients with emergency infusion and research the nursing method. Methods 180 cases of emergency infusion patients with antibacterial drugs adverse reactions in our hospital from August 2015 to August 2016 were convenient selected and the adverse reaction symptoms and causes were analyzed and summarized and the nursing measures were put forwards. Results In the 180 cases， there were 44 cases with respiration system diseases， 64 cases with alimentary infection， 54 cases with urine system infection and 18 cases with infection in other sites， and the adverse reactions of 25 cases were caused by the penicillins antibacterial， accounting for 13.89%， the adverse reactions of 86 cases were caused by the cephalosporins antibacterial， accounting for 47.78%， the adverse reactions of 42 cases were caused by β-lactams antibacterial， accounting for 23.33%， and 27 cases were in other cases， accounting for 15.00%， and the differences had no statistical significance（P0.05）， after the symptomatic treatment and nursing intervention， 166 cases were cured， accounting for 92.22% and 14 cases were improved， accounting for 7.78%. Conclusion Analyzing the causes of adverse reactions of antibacterial drugs and enhancing the nursing of adverse reactions of antibacterial can effectively ensure the medication safety of patients with emergency infusion. 　　[Key words] Patients with emergency infusion； Antibacterial