目的：研究不同方法小儿静脉注射地塞米松以减少恶心、呕吐不良反应，同时提高患儿对治疗的依从性，节约护理工作时间。方法将368名患儿随机分成3组。A组地塞米松原液直接静脉注射，时间5-10min；B组地塞米松原液加入茂菲氏滴管，入速20-40d/min； C组先由生理盐水接输液管待排气完毕后，取下生理盐水，换接其他正常输液组，再将地塞米松原液加入茂菲氏滴管，入速20-40d/m i n。观察三组治疗后1小时内恶心、呕吐不良反应发生情况以及患儿对三种方法的依从性和护理耗时情况的比较。结果 C组的方法能减少小儿静脉注射地塞米松引起的恶心呕吐等不良反应，提高患儿对治疗的依从性，护理耗时少。结论由茂菲氏滴管注入地塞米松时，输液管的残留液体为生理盐水，有利于降低静脉注射地塞米松所致的恶心呕吐机率，患儿的依从性好，宜于护士操作，提高了用药的安全性及护理质量。
Different methods of intravenous dexamethasone clinical research
Objective:Different methods pediatric intravenous dexamethasone to reduce nausea, vomiting adverse reactions, while improving the adherence to the treatment of children, save nursing time. Methods :The 368 children were randomly divided into three groups. Group A direct intravenous injection of dexamethasone dope time 5-10min; Group B dexamethasone dope to join Murphy's dropper, into the speed 20-40d/min; Group C first by saline infusion tube connected to the exhaust to be finished after remove the saline infusion for access other normal group, Dexamethasone dope then added Murphy's dropper, nto speed 20-40d/min. The three groups was observed within 1 hour after treatment of nausea, compared to the situation and the method of three children compliance consuming and care conditions emesis adverse Results :The method can reduce the pediatric group C intravenous dexamethasone-induced nausea and vomiting and other adverse reactions in children to improve adherence to treatment, care less time-consuming. Conclusion: When injected into the Murphy's dropper dexamethasone, the residual liquid is saline infusion tube, help to reduce intravenous dexamethasone-induced nausea and vomiting probability of good compliance in children, it is appropriate nurses to operate and improve the safety and quality of care medication.
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