摘要
目的探讨不同时长的四黄散外敷预防外周静脉留置针致机械性静脉炎发生的临床效果。方法将120例行外周静脉留置针进行静脉治疗的患者,按随机数字表法,分为对照组(n=30例)、实验1组(n=30例)、实验2组(n=30例)、实验3组(n=30例)。对照组患者按静脉治疗护理技术操作规范要求给予治疗及护理,实验组在对照组的基础上给予四黄散外敷,即于穿刺点上方5 cm处沿穿刺静脉走行贴敷面积均为10 cm×5 cm,厚度为2 mm的四黄散,贴敷的时间分别为4小时,6小时,8小时,1次/天,连续干预3天,比较4组患者机械性静脉炎的发生率。结果实验1组机械性静脉炎发生率与对照组相比差异无统计学意义(P>0.05),实验2、3组机械性静脉炎发生率与对照组相比差异有统计学意义(P<0.05),实验2组与实验1组比较机械性静脉炎的发生率差异有统计学意义(P<0.05),实验3组与实验1组比较、实验2组与实验3组比较机械性静脉炎发生率均差异无统计学意义(P>0.05),贴敷过程中随着时间的增加,皮肤过敏、药物渗漏、贴敷敷料脱落等异常情况发生率增加。结论使用四黄散预防外周静脉留置针致机械性静脉炎的贴敷时长以6小时为宜。
Objective To observe the effect of ＂Sihuang powder＂ for preventing mechanical phlebitis caused by peripheral intravenous cannulation in different time. Methods 120 patients with peripheral intravenous cannulation were randomly divided into control group（n =30 cases）, experimental group 1（n =30 cases）, experimental group 2（n =30 cases）, experimental group 3（n =30 cases）, according to random number table. The patients in the control group were given venous therapy nursing technical operation rule for the treatment and nursing, The patients in the experimental group were given ＂Sihuang powder＂ that at the 5 cm above the puncture point, the external application area was 10 cm ×5 cm and the thickness was 2 mm on the basis of the control group, sticking time was 4 hours, 6 hours, 8 hours, 1 times per day and 3 days in a row. The effect of using the incidence of mechanical phlebitis were compared between the 4groups. Results The effects of experimental group 1 were not significantly better than that in the control group（P 0.05）, the effects of experimental group 2 and 3 were significantly better than that in the control group（P 0.05）, the effects of experimental group 2 were significantly better than that in the experimental group 1（P 0.05）, the incidence of mechanical phlebitis experimental group 3 compared with experimental group 1 and experimental group 2 compared with experimental group 3 were not significant difference（P 0.05）. With the increase of time, skin allergies, drug leakage, sticking dressing off abnormal conditions such as increased incidence. Conclusion The use of ＂Sihuang powder＂ in prevention of mechanical phlebitis due to Peripheral Intravenous Cannulation is suitable for 6 hours.
出处
《中国卫生标准管理》
2017年第23期180-182,共3页
China Health Standard Management
基金
福建省卫生厅青年科研课题资助项目(2013-2-57)
关键词
四黄散
机械性静脉炎
预防
时间
Sihuang powder
mechanical phlebitis
prevention
time
