中药膏贴热敷缓解静脉输注甘露醇所致局部反应的效果观察及护理

Clinical observation of traditional Chinese medicine ointment ironing in alleviating the local reaction caused by intravenous infusion of mannitol

目的探讨应用中药膏贴热敷缓解静脉输注20%甘露醇所致局部反应的效果及总结护理要点。方法选择需静脉输注20%甘露醇的急性腰椎间盘突出患者58例,按简单随机方法将患者随机分为观察组和对照组,每组各29例。在静脉输注20%甘露醇过程中,观察组患者采用中药膏贴沿血管走向距穿刺针眼2 cm处局部热敷,持续至甘露醇滴注结束后30 min;对照组患者采用浓度为330 g/L(即33%)硫酸镁局部湿热敷,持续至甘露醇滴注结束后30 min。比较两组患者静脉输注20%甘露醇过程发生局部肢体疼痛程度及静脉炎级别。结果两组患者疼痛程度及静脉炎级别情况比较,均P<0.01,差异具有统计学意义,观察组患者疼痛程度及静脉炎级别明显轻于对照组。结论中药膏贴热敷法能有效缓解或减轻静脉输注20%甘露醇所致局部疼痛及静脉炎严重程度,效果优于采用硫酸镁局部湿热敷法。

Objective To study the effect of traditional Chinese medicine ointment ironing in alleviating the local reaction caused by intravenous infusion of 20% and sum up nursing experience. Methods Fifty eight patients of acute lumbar disc patients with intravenous infusion of 20% mannitol were randomly divided into the observation group and the control group according to the simple random method with 29 cases in each group. In the course of intravenous infusion of 20% mannitol, local hot dressing was done in the observation group using traditional Chinese medicine ointment ironing properly along the direction of the blood vessel from the 2cm puncture needle until 30 min after intravenous infusion of mannitol was finished. The control group use the concentration of 330 g / L（33%） magnesium for hot and wet dressing until 30 min after intravenous infusion of mannitol was finished. The two groups were compared in terms of pain degree and the level of phlebitis. Result The pain degree and phlebitis level in the observation group were significantly lower than those in the control group（all P 〈0.01）. Conclusion The traditional Chinese medicine ointment ironing can effectively alleviate local pain and reduce the severity of phlebitis caused by intravenous infusion of 20% mannitol, with curative effect better than that of magnesium sulfate.