Comberg H U, Senninger N, Wagner M
Infusionsther Klin Ernahr. 1984 Oct;11(5):262-5.
A controlled open clinical trial was carried out to compare the peripheral venous tolerance of patients receiving a hyperosmolar basic nutrition solution (3% amino acids, carbohydrates and electrolytes, 806 mosm/l) with that of patients receiving an isoosmolar electrolyte solution (299 mosm/l). 13 patients received the basic solution, 11 the electrolyte solution. The study was terminated after 4 days. For comparison the infusion time and local venous irritation of each patient were recorded. In both the infusion time and local irritation a slight trend in favour of the electrolyte solution was found, which, however, did not reach statistical significance. We conclude, that under normal clinical circumstances a hyperosmolar basic nutrition solution does not cause a higher rate of peripheral venous irritations compared with an isoosmolar electrolyte solution and should be administered to patients with an expected infusion time of not longer than 4 days.
开展了一项对照开放临床试验,以比较接受高渗基础营养液(3%氨基酸、碳水化合物和电解质,806毫渗摩尔/升)的患者与接受等渗电解质溶液(299毫渗摩尔/升)的患者的外周静脉耐受性。13名患者接受基础溶液,11名患者接受电解质溶液。4天后研究终止。为作比较,记录了每位患者的输注时间和局部静脉刺激情况。在输注时间和局部刺激方面,均发现略微有利于电解质溶液的趋势,然而,这未达到统计学显著性。我们得出结论,在正常临床情况下,与等渗电解质溶液相比,高渗基础营养液不会导致更高的外周静脉刺激发生率,并且应该给予预期输注时间不超过4天的患者。