五马膏局部热敷预防甘露醇静脉点滴致静脉炎的研究

Study on the effect of hot dressing with wuma plaster on prevention of phlebitis induced by injecting mannitol

目的探讨局部五马膏热敷对局部组织血管的影响。方法90例确诊为腰椎间盘突出症患者静脉点滴20％甘露醇540例次，随机分实验组和对照组。实验组静滴后沿静脉走向距针眼2cm处热敷五马膏30min，对照组不作处理，观察两组静脉炎发生率。结果实验组静脉炎发生率8．87％，对照组静脉炎发生率33．33％，两组比较差异有统计学意义（χ2=6．67，P〈0．01）。结论局部五马膏热敷的护理，可减少静脉炎发生率，减轻患者痛苦。

Objective To observe the effect of hot dressing with wuma plaster on prevention of phlebitis induced by injecting mannitol and nursing. Methods A total of 90 cases of patients with lumbar intervertebral disc herniation received 540 intravenous infusion by 20% mannitol were randomly divided into study group（ n = 45） and control group（n =45）. The study group was given hot dressing with wuma plaster 30 minute by spot of sting about 2cm along the vein and the control group was not given . Phlebitis were observed in two group . Results There were 4 （8.87%） of phlebitis in study group and 15 （33.33%） of phlebitis in control group. There was significant difference between two groups （ χ2 = 6.67, P 〈 0. 01 ）. Conclusions Hot dressing with wuma plaster can reduce the phlebitis by 20% mannitol intravenous infusion.