康惠尔透明贴预防和治疗5-氟尿嘧啶泵致静脉炎的护理

The nursing of the Comfeel transparent dressing preventing and treating 5 - fluorouracil pump - induced phlebitis

目的探讨透明贴预防和治疗5-氟尿嘧啶持续化疗泵致静脉炎的有效性。方法对外周静脉留置持续48h输注5-氟尿嘧啶化疗的34例患者，在静脉穿刺成功、未化疗前，A1组22例给3M透明敷贴固定留置针，另在近心端1cm处，沿静脉穿刺走向康惠尔透明贴外用并保持5d，B1组20例仅给3M透明膜固定留置针，化疗泵结束拔针前两组均予生理盐水20ml脉冲式冲洗静脉。化疗后已发生静脉炎者，A2组19例给面积略大于患处透明贴同法外用，B2组21例给25％硫酸镁湿敷6—8h，Bid，72h评价疗效。结果A1组静脉炎3例（13．64％），B1组静脉炎14例（70％），差异有极显著性（P〈0．005）。A2组静脉炎有效19例（100％），治愈17例（89．47％），B2组静脉炎有效21例（100％），治愈12例（57．14％），在治愈率和治愈时间方面，差异均有显著性（P〈0．025）。结论康惠尔透明贴能有效预防和治疗5一氟尿嘧啶持续化疗泵导致的静脉炎。

Objective To investigate effects of the Comfeel transparent dressing preventing and treating 5 - fluorouracil chemother- apy pump - induced phlebitis. Methods A total of 34 cases who accepted continuous peripheral intravenous catheter infusion 5 - fluorou- racil chemotherapy for 48h and succeeded in the vein puncture before chemotherapy were selected, group A1 of 22 cases were given 3 M transparent tickers fixed the catheter, and at the proximal end of 1 era, the Comfeel transparent dressing used along the vein to external for 5 days. Group B1 of 20 cases only were given 3 M transparent stickers fixed the catheter, before the end of chemotherapy pump and the catheter moved, The two groups were flushed intravenous NS 20 ml. For cases who got phlebitis after chemotherapy, group A2 of 19 cases to the area slightly larger than the external surface of the skin using the Comfeel transparent dressing, group B2 of 21 cases to 25% magnesium sulfate wet for 6 ~ 8 h Bid, evaluated after 72 h. Results It showed that 3 cases of phlebitis occurred in group A1 （ 13.64% ）, 14 cases in group B1 （70%） . There was significant difference （P 〈 0. 005）. 17 of effective 19 cases of phlebitis in group A2 （100%） were cured （89. 47% ） , 12 of 21 effective cases of phlebitis in group B2 （100%） were cured （57. 14% ） , There was significant difference in the cure rate and cure time （ P 〈 0. 025 ） . Conclusions Comfeel transparent dressing can prevent and treat 5 - fluorouracil chemotherapy pump - induced phlebitis.