五味消毒饮蜜膏外敷预防化疗性静脉炎的效果观察

Prevention of Chemotherapeutic Phlebitis with External Application of Wuwei Xiaodu Yinmigao

目的探讨五味消毒饮蜜膏外敷预防化疗性静脉炎的作用。方法将124例经外周静脉化疗患者按入院先后顺序随机分为观察组和对照组各62例,对照组常规于应用化疗药物前后以生理盐水冲管;观察组在此基础上于化疗前20 min于静脉穿刺点上方沿静脉走向先用75%酒精涂擦局部皮肤,然后用五味消毒饮蜜膏外敷,每天3次,每次换药前均将原药擦洗干净,连续使用至化疗结束后3 d,观察两组静脉炎发生率。结果观察组静脉炎发生率为11%,对照组76%,两组静脉炎发生率比较,差异有统计学意义(P<0.05)。结论五味消毒饮蜜膏外敷可有效预防化疗性静脉炎的发生,使用方便。

Objective To discuss the prevention of chemotherapeutic phlebitis with external application of Wuwei Xiaodu Yinmigao（Paste of Five Flavors to Expel Toxins）.Methods 124 patients with chemotherapy were randomly divided into observation group and control group equally.In control group,normal saline injection was applied to wash tube before and after the application of chemotherapeutic drugs but in experiment group,in addition to normal saline injection,Wuwei Xiaodu Yinmigao was applied externally in the area above puncture point where the skin was sterilized with 75% alcohol 20 min before chemotherapy.The incidence of phlebitis in two groups was compared.Results The incidence of phlebitis in observation group was 11% while that in control group was 76%,which indicated statistic significance（P0.05）.Conclusion External application of Wuwei Xiaodu Yinmigao is effective and safe to prevent chemotherapeutic phlebitis.