中枢神经系统感染患者输注甘露醇静脉输液装置的选择

Effect of different infusion devices for infusing mannitol in patients with central nervous system infection

目的观察不同输液装置为中枢神经系统感染患者输注甘露醇时静脉炎发生情况。方法将100例需注射甘露醇的中枢神经系统感染患者按用药时间先后随机分为观察组与对照组,观察组使用头皮钢针,对照组使用静脉留置针,对两组患者出现静脉炎的情况进行对比分析。结果观察组50例患者均出现静脉炎,发生率为100%,对照组50例患者中有25例发生静脉炎,发生率为50%,两组比较差异有统计学意义(P<0.05);观察组第1~4天均有患者发生静脉炎,平均发生时间为(1.90±0.909)d,对照组第2~6天均有患者发生静脉炎,平均发生时间为(3.72±1.173)d,两组比较差异有统计学意义(P<0.05)。结论浅静脉留置针相对于头皮静脉针而言,发生静脉炎的几率小,能够减轻患者的痛苦,推荐使用。

Objective To observe the occurrence of phlebitis in patients with central nervous system infection who were given mannitol with different infusion devices. Methods 100 patients with central nervous system infection were randomly divided into observation group and control group according to the medication time. Results The incidence of phlebitis was 100% in the observation group. While the figure was 50% in the control group. The differences between the two groups were statistically significant （ P 〈 0.05 ）. In the observation group, patients with phlebitis occurred in the 1-4 d. The average time was （ 1.90 ±0.909） d. In the control group, patients with phlebitis occurred in the 2 -6 d. the average time was （3.72 ±1.173 ） d. The differences between the two groups were statistically significant （P 〈 0.05）. Conclusion Superficial venous indwelling needle is less likely to develop phlebitis than scalp venous needle. It can relieve the patientg pain. Superficial venous indwelling needle is recommended in clinical practice.