分层次静脉输液联合消炎散预防消化内科患者静脉炎的研究

目的探讨分层次静脉输液联合消炎散对消化内科患者静脉炎的防控效果。方法：选取2015年1-4月我院消化内科输液的住院患者60例为观察组，运用分层次静脉输液联合消炎散防控静脉炎；选取2014年7月-2014年10月我院消化内科输液的住院患者58例为对照组，用硫酸镁进行防控。结果：观察组静脉炎发生率为40．00%，对照组为77．6％，2组差异有统计学意义（P〈0．05）。观察组总有效率为95．896，对照组为95．6％，2组差异无统计学意义（P〉O．05）。在患者移除留置针后进行舒适度测评，观察组VAS得分为（1．52±1．03）分，对照组为（2．86±1．45）分，差异有统计学意义（P〈0．01）；观察组患者的舒适度明显高于对照组，差异有统计学意义（P〈0．05）。结论：实施分层次静脉输液联合消炎散对消化内科患者静脉炎进行防控，能明显降低静脉炎的发生率，并且能提高全体护士的输液安全意识，利于提高输液的有效性，同时还可提高患者的舒适度。

Objective To explore the prevention and control effect of hierarchical intravenous infusion combined with antiphlogistic powder onphlebitis in patients with digestive diseases. Methods：60 cases patients with digestive internal medicine infusion in the hospital in January 2015to April 2015 were selected as the observation group, using hierarchical venous infusion phlebitis prevention and control of joint antiphlogisticpowder; 58 cases patients with digestive internal medicine infusion in the hospital in July 2014 to October 2014 were selected as the controlgroup, use magnesium sulfate for prevention and control. Compare two groups of patient＇s effect on the prevention and controlof phlebitis and comfort. Results：Group a total of 24 cases of phlebitis, incidence for 40.0%,including 12 cases level 1,9 cases level 2,3 caseslevel 3;Control group a total of 45 cases of phlebitis, incidence for 77.6%,15 cases level 1,21 cases level 2,6 cases level 3,3 cases level 4;Two groups of patients the incidence of phlebitis comparative difference was statistically significant （P〈0.05）.Observation group total effectiverate was 95.8%, control group total effective rate was 95.6%,no statistically significant difference comparing the two groups（P〉0,05）. In patientsafter removing indwelling needle for comfort evaluation, VAS score was 1.52±1.03 of observation group, control group was 2.86±1.45, thedifference was statistically significant （P〈0.01）; The patient＇s comfort observation group was obviously higher than that of control group, thedifference was statistically significant（P〈0.05）.Conclusion：Implementation hierarchical intravenous infusion combined with antiphlogistic powderphlebitis in patients with digestive internal medicine for prevention and control, can significantly reduce the incidence of phlebitis, and canimprove all the nurse transfusion safety consciousness, to improve the effectiveness of the infusion, and can also improve patient comfort.