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目的严密观察产后贫血的患者使用静脉滴注右旋糖酐铁治疗过程中的不良反应,做好整体护理,保证用药安全。方法选取2015年8月-2017年1月在天津市中心妇产科医院产科四病区使用右旋糖酐铁治疗产后贫血55例,采用脱敏静脉滴注法的过程中,进行仔细全面的观察护理。警惕并重视不良反应,加强用药管理。结果除2例有轻微不良反应并得到及时救治外其余53例均顺利输毕无反应。参照化验指标血红蛋白(Hb)在治疗后均升高5~10 g/L。结论使用脱敏疗法静脉滴注右旋糖酐铁治疗产后贫血,护士做到熟知右旋糖酐铁的不良反应并且掌握应对方案。对不良反应及时做出分析判断,尽快救治,加强患者用药的安全性,既纠正患者贫血减少输血,又可减少不良反应,使患者获得显著的疗效。
Objective To observe closely the adverse reactions during the course of iron-coated iron dextran treatment in patients with postpartum anemia, and to make overall nursing care and ensure drug safety. Methods From August 2015 to January 2017, 55 cases of postpartum anemia were treated with iron dextran in the fourth ward of obstetrics and gynecology department of Obstetrics and Gynecology Hospital, Tianjin Central Obstetrics and Gynecology Hospital. During the course of desensitization intravenous drip, careful and comprehensive nursing was conducted. Be vigilant and pay attention to adverse reactions and strengthen medication management. Results In addition to two cases of minor adverse reactions and timely treatment of the remaining 53 cases were successfully completed without response. Reference laboratory indicators hemoglobin (Hb) increased 5 ~ 10 g / L after treatment. Conclusions The use of iron dextran intravenous infusion desensitization therapy of postpartum anemia, nurses do familiar with iron dextran adverse reactions and master the coping regimen. Adverse reactions in a timely manner to make the analysis and judgment, treatment as soon as possible to enhance the safety of patient medication, both to reduce blood transfusions in patients with anemia, but also reduce adverse reactions so that patients receive significant results.