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수술환자의 동맥관 개방성 유지를 위한 생리식염수의 효용성 평가

 Effects of Normal Saline for Maintenance of Arterial Lines of Surgical Patients

Journal of Korean Academy of Nursing 2012년 42권 6호 p.791 ~ 798
KMID : 0806120120420060791
한상숙 ( Han Sang-Sook ) - 경희대학교 간호과학대학

박지은 ( Park Jee-Eun ) - 경희대학교 간호과학대학
김남은 ( Kim Nam-Eun ) - 경희대학교 간호과학대학
강화자 ( Kang Hwa-Ja ) - 경희대학교병원 마취통증의학과

Abstract

Purpose: The purpose of this study was to analyze the effectiveness of saline solution vs. heparinized-saline for maintenance of arterial lines and to detect changes in platelet and aPTT as physiological indexes.

Methods: In this nonequivalent control group, non-synchronized, double-blind study the effects of heparinized and saline solution on the maintenance of arterial lines were compared. Fifty five patients received the heparinized solution and fifty nine patients received the saline solution. All patients who had surgery in K-university hospital between September and December 2011 were eligible for participation in the
study.

Results: There was no statistically significant difference between the saline and the heparin group in the maintenance time of the arterial lines or the number of irrigations. There was no statistically significant difference between the groups in changes in the number of platelets and aPTT for interaction between the groups and time intervals.

Conclusion: The results indicate that saline solution can be used as an irrigation solution for the maintenance of arterial lines of adult surgical patients, rather than heparinized-saline, in view of potential risk factors in the use of heparin.
KeyWords

Heparin, Saline solution, Arterial lines
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SCI(E) MEDLINE 학술진흥재단(KCI) KoreaMed