硫酸镁热敷联合三黄膏治疗化疗性静脉炎的临床疗效观察

Efficacy Observation of Magnesium Sulfate Fomentation Combined with Sanhuang Plaster for Chemotherapy Phlebitis

目的:观察硫酸镁热敷联合三黄膏治疗化疗性静脉炎的临床疗效。方法:选择96例化疗性静脉炎患者,采用数字随机法分为两组,每组各48例。其中,对照组使用硫酸镁热敷,观察组在硫酸镁热敷后联用三黄膏,比较两组患者治疗后临床症状改善时间、治疗依从性及整体临床效果。结论:观察组疼痛消退时间和红肿消退时间均快于对照组,且24 h红肿消退率高于对照组,差异具有统计学意义(均P<0.05);观察组患者主动参与治疗的比例高于对照组,且达到相同效果的外敷治疗时间短于对照组,差异具有统计学意义(P<0.05);观察组治愈率高于对照组,无效率低于对照组,差异具有统计学意义(P<0.05)。结论:三黄膏治疗化疗性静脉炎的临床效果显著,能较快缓解疼痛、红肿等症状,且治疗方便,可提高患者的治疗主动性。

OBJECTIVE： To investigate the clinical efficacy of magnesium sulfate fomentation combined with Sanhuang plaster for chemotherapy phlebitis. METHODS： 96 cases of chemotherapy phlebitis were randomly divided into 2 groups with 48 cases in each group. Control group was given magnesium sulfate, and observation group was given magnesium sulfate and Sanhuang plas- ter; the duration of clinical symptom improvement, treatment compliance and overall clinical efficacy were compared between 2 groups after treatment. RESULTS： The time of pain fadeaway and the swelling fadeaway in observation group were faster than in control group; the ratio of swelling fadeaway 24 h in observation group was higher than in control group; there was statistical significance（P〈0.05） ; the proportion of active participation in observation group was higher than in control group; topical treatment time of same effect in observation group was significantly shorter than in control group; there was statistical significance （P〈 0.05） ; cure rate of observation group was higher than that of observation group, while invalidation rate of it was higher than that of observation group; there was statistical significance （P〈0.05）. CONCLUSIONS： Sanhuang plaster has significant clinical effect on chemotherapy phlebitis; it can quickly relieve pain and swelling, and is convenient treatment to improve patient＇s initiative.