摘要
目的:比较愈肤宁和愈肤宁复合复方利多卡因乳膏对老年患者静脉输液外渗的治疗效果。方法选择老年患者135例,男性65例,女70例,按发生外渗的先后顺序采用数字表法均分为愈肤宁复合复方利多卡因乳膏组(A组)、愈肤宁组(B组)及硫酸镁组(C组)。 A组2~3次/d将复方利多卡因乳膏、愈肤宁先后均匀涂抹于输液外渗部位;B组2~3次/d在输液外渗部位均匀地涂抹愈肤宁;C组将外渗部位用50%硫酸镁纱布条连续湿敷。记录三组患者完全吸收时间、显效时间及显效、有效、无效的病例数,并对其进行舒适度评分。结果完全吸收时间及显效时间 B、C两组明显长于 A组,C组明显长于 B组(P<0.01或0.05);舒适度评分 A组明显高于B、C两组(P<0.05)。C组显效病例数明显少于A、B两组,而有效及无效病例数却明显多于A、B两组(P<0.01或0.05)。结论愈肤宁复合复方利多卡因乳膏较单纯应用愈肤宁涂抹对治愈老年患者静脉外渗所致肿胀、疼痛等临床症状上更具有优越性。
Objective To compare the Treatment ef ects of oligo-glucosumine and oligo-glucosumine combined with compound lidocaine cream on intravenous infusion extravasation in elderly patients.Methods 135 elderly patients with 65 males and 70 emales selected were divided randomly into three groups by the order of the occurrence of extravasation with 45 cases each:Oligo-glucosumine combined with compound lidocaine cream group(Group A)、Oligo-glucosumine group(Group B)and Magnesium sulfate solution group(Group C).The compound lidocaine cream and Oligo-glucosumines were successively and evenly applied in intravenous infusion site by 2-3 times everyday in Group A;Oligo-glucosumines were evenly applied in intravenous infusion site by 2~3 times everyday in Group B;Yarn block immersed in 50%magnesium sulfate solution in the continuous wet dressing i9n the extravasation site,and the yarn block moist was continued to maintain in Group C.Markedly time、completely absorbed time、markedly、valid and invalid cases were observed and recorded,and comfort scores were respectively calculated.Results Markedly time and completely absorbed time in Group B and Group C were significantly longer than in Group A,and in Group Cwere significantly longer than in Group A(P<0.01 or 0.05);Comfort scores in Group A were significantly higher than in Group B and Group C(P<0.05).The number of markedly cases in group C was significantly less than that in Group A and Group B,and the number of valid and invalid cases was significantly more than that in group A and Group B(P<0.01 or 0.05).Conclusion Both oligo-glucosumine and oligo-glucosumine combined with compound lidocaine cream can prefer a more cure for elderly patients with intravenous infusion extravasation due to swel ing,pain and other symptoms,the operation is simple and side ef ects are less,but oligo-glucosumine combined with compound lidocaine cream has more advantages.
作者
初玉梅
孙秀丽
张坤
CHU Yu-mei;SUN Xiu-li;ZHANG Kun(Department of Section II of Endocrine,The Friendship Hospiital of Dalian,Dalian 116001,Liaoning,China)
关键词
愈肤宁
复方利多卡因乳膏
硫酸镁
老年患者
静脉输液外渗
Oligo-glucosumine
Compound lidocaine cream
Magnesium sulfate solution
Elderly patients
Intravenous infusion extravasation
