赛肤润对多巴胺外渗致静脉炎的治疗效果及护理
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摘要
目的分析赛肤润对多巴胺外渗致静脉炎的治疗效果及护理。方法研究时段自2016年11月—2018年11月,方便选定该院住院期间输注多巴胺致静脉炎的患者90例,随机分为对照组和研究组,各45例,对照组采用温水湿热敷10 min后再用喜辽妥外涂按摩,研究组采用赛肤润液体敷料湿敷,两组治疗期间均予以综合护理,比较治疗效果、静脉炎发生情况、临床症状消退时间、NIPS评分。结果研究组临床总有效率(95.65%)显著较对照组(66.67%)高(χ~2=12.256 2,P=0.000 5)。研究组静脉炎发生率(0.00%)显著较对照组(8.89%)低(χ~2=5.221 6,P=0.000 0);研究组血管弹性恢复时间、红肿消退时间分别是(17.25±3.26)h、(13.12±1.26)h;对照组分别是(26.99±5.17)h、(21.92±3.17)h,研究组显著较对照组短(t=10.690 1、17.305 2,P=0.000 0、0.000 0);研究组NIPS评分为(0.98±0.02)分、对照组NIPS评分为(1.67±0.34)分,研究组显著较对照组低(t=13.590 2,P=0.000 0)。结论赛肤润联合综合护理,可有效改善多巴胺外渗致静脉炎患者疼痛、红肿症状,有效预防静脉炎发生。
Objective To analyze the therapeutic effect and nursing of Saifurun on phlebitis induced by dopamine extravasation. Methods From November 2016 to November 2018, 90 patients who received infusion of dopamine-induced phlebitis during hospitalization were convenient selected and randomly divided into the control group and the study group, 45 cases each. The control group was warmed with warm water. Ten minutes later, the skin was massaged with Xiliaotuo. The research group was treated with Saifu Run Liquid Dressing. Both groups were treated with comprehensive care during the treatment period. The treatment effect, phlebitis, clinical symptom regression time and NIPS score were compared. Results The total clinical effective rate(95.65%) of the study group was significantly higher than that of the control group(66.67%)(χ~2=12.256 2, P=0.000 5). The incidence of phlebitis in the study group(0.00%) was significantly lower than that in the control group(8.89%)(χ~2=5.221 6, P=0.000 0). The recovery time of the vascular elasticity and the time of redness and swelling in the study group were(17.25±3.26)h,(13.12±1.26) h; the control group was(26.99±5.17) h,(21.92±3.17) h, the study group was significantly shorter than the control group(t=10.690 1, 17.305 2; P=0.000 0, 0.000 0); the study group NIPS score was(0.98±0.02)points and the control group was(1.67±0.34)points, and the study group was significantly lower than the control group(t=13.590 2,P=0.000 0). Conclusion Saifurun combined with comprehensive nursing can effectively improve the symptoms of pain and redness in patients with phlebitis caused by dopamine extravasation, and effectively prevent the occurrence of phlebitis.
Objective To analyze the therapeutic effect and nursing of Saifurun on phlebitis induced by dopamine extravasation. Methods From November 2016 to November 2018, 90 patients who received infusion of dopamine-induced phlebitis during hospitalization were convenient selected and randomly divided into the control group and the study group, 45 cases each. The control group was warmed with warm water. Ten minutes later, the skin was massaged with Xiliaotuo. The research group was treated with Saifu Run Liquid Dressing. Both groups were treated with comprehensive care during the treatment period. The treatment effect, phlebitis, clinical symptom regression time and NIPS score were compared. Results The total clinical effective rate(95.65%) of the study group was significantly higher than that of the control group(66.67%)(χ~2=12.256 2, P=0.000 5). The incidence of phlebitis in the study group(0.00%) was significantly lower than that in the control group(8.89%)(χ~2=5.221 6, P=0.000 0). The recovery time of the vascular elasticity and the time of redness and swelling in the study group were(17.25±3.26)h,(13.12±1.26) h; the control group was(26.99±5.17) h,(21.92±3.17) h, the study group was significantly shorter than the control group(t=10.690 1, 17.305 2; P=0.000 0, 0.000 0); the study group NIPS score was(0.98±0.02)points and the control group was(1.67±0.34)points, and the study group was significantly lower than the control group(t=13.590 2,P=0.000 0). Conclusion Saifurun combined with comprehensive nursing can effectively improve the symptoms of pain and redness in patients with phlebitis caused by dopamine extravasation, and effectively prevent the occurrence of phlebitis.
引文
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[12]钟翠娜,许锦欢,欧阳婉君,等.赛肤润联合水胶体敷料治疗化疗性静脉炎的效果观察与护理[J].护理实践与研究2013,10(5):59-60
[2]王俊卿.预见性护理干预在防止新生儿输液外渗中的应用[J].护理研究,2016,30(15):1914-1915.
[3]李莉.赛肤润联合护理干预治疗儿童化疗性静脉炎30例[J]中国药业,2015,24(21):238-239.
[4]刁淑华.舒适化护理减轻新生儿静脉留置针穿刺疼痛的效果观察[J].现代诊断与治疗,2014,25(21):5011-5013.
[5]周凌珊.预防性护理对化疗药物外渗致静脉炎的影响分析[J].延安大学学报:医学科学版,2016,14(2):73-74.
[6]李爱军.胺碘酮致静脉炎的原因分析及护理[J].中国病案2016,17(3):84-86.
[7]庄惠人,彭幼清.1例可达龙外渗致注射部位皮肤坏死病人的护理[J].护理研究,2015,29(27):3437-3438.
[8]孙桂红,陆静波,沈永红.六神丸蜂蜜膏外敷治疗高渗性药物静脉外渗的护理[J].上海护理,2016,16(1):50-52.
[9]胡仙华.化疗性静脉炎的防治及护理新进展[J].中华护理教育,2015,12(4):314-317.
[10]李瑞.恶性肿瘤静脉化疗药物外渗的分期护理及预防[J]中国现代药物应用,2016,10(21):166-167.
[11]王爽.新生儿液体外渗的原因分析及护理对策[J].中国医药指南,2017,15(2):262.
[12]钟翠娜,许锦欢,欧阳婉君,等.赛肤润联合水胶体敷料治疗化疗性静脉炎的效果观察与护理[J].护理实践与研究2013,10(5):59-60