自制中药外敷防治甘露醇所致静脉炎的护理干预

Nursing Intervention of Self-made Traditional Chinese Medicine External Treatment for the Prevention and Control of Phlebitis Caused by Mannitol

目的：观察自制中药外敷防治甘露醇致静脉炎的疗效,与乙醇湿敷防治甘露醇所致静脉炎相对比,哪种干预更有效果。方法：84例脑外伤病人因静脉输注甘露醇需要保护静脉,给予必要的干预护理及自制中药外敷治疗,对照组予75%乙醇外敷治疗,3d为1疗程,治疗1～2个疗程。结果：42例实验组患者治疗后,未发生静脉炎者39例,3例Ⅰ级,无Ⅱ级和Ⅲ级。42例对照组患者治疗后,未发生静脉炎者34例,5例Ⅰ级,3例Ⅱ级,无Ⅲ级。结论：实验组患者静脉炎发生率明显低于对照组,自制中药外敷治疗能有效降低静脉滴注20%甘露醇所致静脉炎发生率,减少病人护理不良事件,对提高护理质量有重要的意义。

Objective： To observe the curative effect of self-made traditional Chinese medicine external treatment for the prevention and control of phlebitis caused by mannitol and compare the prevention effect with that treated by alcohol wet packing.Methods： 84 cases of cerebral trauma patients needed to protect vein because of intravenous mannitol were taken as research object ,who were given necessary nursing intervention and self-made Chinese medicine external treatment. The control group were treated with with 75% alcohol wet packing, 3 days for one period of treatment, treated for 1-2 period of treatment.Results. After treatment, among 42 cases in experimental group, 39 cases suffer from phlebitis, 3 cases of level, without level]] and level]]l. After treatment,42 patients in the control group, 34 casesdidfft suffer from phlebitis, 5 cases of level I, 3 cases of level II, without level Ill. Conclusion： The incidence of phlebitis in the experimental group were significantly lower than that in the control group in, self-made Chinese medicine external treatment can effectively reduce the incidence of phlebitis caused by intravenous drip 20% mannitol, reduce patient nursing adverse events, and is of important significance to improve the quality of nursing.