金黄膏外敷预防静脉滴注甘露醇所致静脉炎的疗效及护理观察

Observation on effect and nursing of external application with Golden Ointment in prevention of phlebitis by intravenous drip of mannito

目的观察金黄膏外敷预防静脉滴注甘露醇所致静脉炎的治疗和护理效果。方法将2013年5月至2014年5月静脉滴注甘露醇的60例患者随机分成外敷组和常规组,各30例。外敷组患者在血管穿刺上方沿静脉走向均匀外敷黄金膏并给予精心护理,常规组患者行常规经套管针静脉滴注并给予普通护理。两组患者分别静脉滴注相同剂量20%甘露醇且滴注速度相同,观察两组患者住院期间发生静脉炎的情况,比较置管时间。结果外敷组患者静脉炎发生率[13.3%(4/30)]明显低于常规组[93.3%(28/30)],且套管针的平均置管时间[(4.67±1.32)d]较常规组[(1.40±0.92)d]明显延长,差异均有统计学意义(P<0.05)。结论金黄膏外敷能预防和减少使用套管针静脉滴注甘露醇所致的静脉炎,并能延长套管针留置时间,且配合精心护理效果较好。

Objective To observe the effect and nursing of external application with golden ointment in prevention of phlebitis caused by intravenous drip of mannitol. Methods A total of 60 patients with intravenous drip of mannitol were randomly divided into the external application group （abbreviated as the external group） and the routine care group （abbreviated as the regular group ）, 30 of each group. The patients in the external group applieated externally along the vein above vascular puncture point with golden ointment as well as intensive care, while those in the routine group with routine intravenous drip by trocar as well as ordinary care. The two groups were given 20% mannitol with the same dose and infusion rate. It was observed the phlebitis occurred during the hospitalization. Results The occurrence rate of phlebitis in the external group[13.3%（4/30）] was distinctly lower than that of the routine group[93.3%（28/30）], at the same time ,the indwelling time of trocar[（4.67±1.32）d] was longer than that of the routine group[（ 1.40±0.92）d], whose differences were statistically significant （P〈0.05）. Conclusion Extemal appli- cation with golden ointment may prevent and reduce the occurrence of phlebitis caused by intravenous drip of mannitol, and can prolong the indwelling timr,which is better matched with intensive care.