Olde Rikkert M G, Bogaers M A, Bruijns E
Academisch Ziekenhuis Nijmegen St. Radboud.
Tijdschr Gerontol Geriatr. 1994 Oct;25(5):197-204.
The use of hypodermoclysis (hypo) as a method of rehydration in geriatrics has decreased in recent years. By interviewing the Dutch geriatricians (n = 41), the nursing home physicians in the district Arnhem-Nijmegen (N = 65) and the trainees for these disciplines (total number: 60), data were collected on the place of this method in clinical practice. A response of 72% was reached. A minority of the respondents (34%) uses hypo's. In a period of 1.5 years there was a mean prescription of 5.5 hypodermoclyses per physician. The acceptance by the patients was labeled as reasonably well or good. Lack of experience was one of the most important reasons for not using hypo's. Furthermore a retrospective investigation was carried out concerning the indications of hypodermoclysis and its usage in the psychogeriatric nursing home 'Joachim en Anna' (250 patients), where experience with this technique has accumulated. In 1993, 48 (19%) of their patients were given on average 5.1 liters of fluid in 3.6 days by means of hypodermoclysis. Only local edema was seen as complication in 9 cases. Case-histories illustrate possible indications of hypo's in the Dutch nursing home as well as in hospital. Finally, after a review of recent literature, we advocate a positive reappraisal of this rehydration method.
近年来，皮下输液法（hypo）作为老年患者补液方法的使用有所减少。通过对荷兰老年病医生（n = 41）、阿纳姆-奈梅亨地区的疗养院医生（N = 65）以及这些学科的实习生（总数：60）进行访谈，收集了关于该方法在临床实践中应用情况的数据。回复率达到了72%。少数受访者（34%）使用皮下输液法。在1.5年的时间里，每位医生皮下输液的平均处方量为5.5次。患者对该方法的接受度被评为较好或良好。缺乏经验是不使用皮下输液法的最重要原因之一。此外，还对“约阿希姆与安娜”老年精神病疗养院（250名患者）进行了回顾性调查，该疗养院积累了使用该技术的经验。1993年，他们的48名（19%）患者通过皮下输液法在3.6天内平均接受了5.1升液体。仅9例出现局部水肿并发症。病例记录说明了皮下输液法在荷兰疗养院以及医院的可能适应证。最后，在回顾近期文献后，我们主张对这种补液方法进行积极的重新评估。
