偏瘫老年人静脉输液渗漏与输液部位的关系

The relation between the venous infusion effusion and infusion position for the aged hemiplegia patient

目的:观察偏瘫老年人健侧和患侧肢体静脉输液渗漏的发生率。方法:选择60例偏瘫老年人,按入院后的输液顺序随机分为患侧输液组和健侧输液组各30例。患侧组采用瘫痪上肢进行静脉输液,健侧组则采用健侧上肢静脉输液,比较两组输液两周内静脉渗漏的发生率。结果:静脉渗漏发生率患侧组为53.3%,健侧组为23.3%,P<0.05。结论:偏瘫老年人患侧肢体输液较健侧肢体输液更易发生静脉渗漏,从而增加了病人痛苦,影响了治疗及肢体功能恢复。

Objectlve：To observe the venous infusion effusion occurring on the limbs of healthy side and suffering side of the aged hemiplegia. Methods： After 60 cases of the aged hemiplegia patients were seleeted, according to their infusion order, they were at random divided into suffering side infusion group （SSIG） of 30 cases and healthy side infusion group （SSIG） of 30 cases. The venous infusion was operated on the upper limb of suffering side in SSIG and was operated on the upper limb of healthy side in HSIG, then comparing the incidence of venous effusion after 2 weeks of infusion in two groups. Results： The incidence of venous effusion was 53.3 % in SSIG and in HSIG was 23.3 % （ P 〈 0.001 ）. Conclusion： The venous infusion effusion on suffering side more easy happen than that on healthy side, so as to create the suffering of patients and influence the functional recovery of the limbs.