云南白药联合地塞米松外敷在造影剂外渗治疗中的应用及护理

Clinical effects of external application of Yunnan Baiyao Combined with dexamethasone in treatment of extravasation of contrast agent and related nursing management

目的观察云南白药联合地塞米松外敷治疗造影剂外渗的效果,总结护理体会。方法选取2016年6月—2017年6月收治的造影剂外渗患者112例,按照随机数字表法分为观察组与对照组,各56例。对照组给予单纯地塞米松外敷治疗,观察组给予地塞米松联合云南白药治疗。观察2组外渗部位皮肤肿胀、疼痛症状改善时间、住院时间、静脉炎发生情况,评价临床疗效。结果观察组皮肤肿胀、疼痛症状改善及住院时间、静脉炎发生率均少于对照组,差异有统计学意义(P<0.05)。观察组临床疗效总有效率为94.64%(53/56)高于对照组的76.79%(43/56),差异有统计学意义(P<0.05)。结论云南白药联合地塞米松外敷治疗造影剂外可有效改善外渗部位皮肤肿胀、疼痛症状,同时配合护理干预对缩短住院、减少静脉炎发生具有积极意义。

Objective To observe the clinical effect of external application of Yunnan Baiyao combined with dexamethasone in the treatment of extravasation of contrast media,and to summarize related nursing measures. Methods Totally 112 patients with extravasation of contrast agent were assigned to the observation group and the control group,with 56 cases in each group. Patients in the control group were given external application dexamethasone,and those in the observation group were given external application of Yunnan Baiyao combined with dexamethasone.The remission time of swelling and pain at local skin,length of stay and incidence of phlebitis were compared between two groups. Results Patients in the observation group had a shorter remission time of swelling and pain at local skin,shorter length of stay and less incidence of phlebitis compared with those in the control group( P < 0. 05). The overall effective rate was 94. 64%( 53/56) in the observation group,which was higher than 76. 79%( 43/56) of controls( P <0. 05). Conclusion External application of Yunnan Baiyao combined with dexamethasone is potentially effective to relieve the swelling and pain at local skin and reduce the risk of phlebitis in patients with extravasation of contrast agent.