赛肤润对多巴胺外渗致静脉炎的治疗效果及护理

Therapeutic Effect and Nursing of Saifurun on Phlebitis Induced by Dopamine Extravasation

目的分析赛肤润对多巴胺外渗致静脉炎的治疗效果及护理。方法研究时段自2016年11月—2018年11月,方便选定该院住院期间输注多巴胺致静脉炎的患者90例,随机分为对照组和研究组,各45例,对照组采用温水湿热敷10min后再用喜辽妥外涂按摩,研究组采用赛肤润液体敷料湿敷,两组治疗期间均予以综合护理,比较治疗效果、静脉炎发生情况、临床症状消退时间、NIPS评分。结果研究组临床总有效率(95.65%)显著较对照组(66.67%)高(χ^2=12.2562,P=0.0005)。研究组静脉炎发生率(0.00%)显著较对照组(8.89%)低(χ^2=5.2216,P=0.0000);研究组血管弹性恢复时间、红肿消退时间分别是(17.25±3.26)h、(13.12±1.26)h;对照组分别是(26.99±5.17)h、(21.92±3.17)h,研究组显著较对照组短(t=10.6901、17.3052,P=0.0000、0.0000);研究组NIPS评分为(0.98±0.02)分、对照组NIPS评分为(1.67±0.34)分,研究组显著较对照组低(t=13.5902,P=0.0000)。结论赛肤润联合综合护理,可有效改善多巴胺外渗致静脉炎患者疼痛、红肿症状,有效预防静脉炎发生。

Objective To analyze the therapeutic effect and nursing of Saifurun on phlebitis induced by dopamine extravasation. Methods From November 2016 to November 2018, 90 patients who received infusion of dopamine-induced phlebitis during hospitalization were convenient selected and randomly divided into the control group and the study group, 45 cases each. The control group was warmed with warm water. Ten minutes later, the skin was massaged with Xiliaotuo. The research group was treated with Saifu Run Liquid Dressing. Both groups were treated with comprehensive care during the treatment period. The treatment effect, phlebitis, clinical symptom regression time and NIPS score were compared. Results The total clinical effective rate (95.65%) of the study group was significantly higher than that of the control group (66.67%)(χ^2=12.256 2, P=0.000 5). The incidence of phlebitis in the study group (0.00%) was significantly lower than that in the control group (8.89%)(χ^2=5.221 6, P=0.000 0). The recovery time of the vascular elasticity and the time of redness and swelling in the study group were (17.25±3.26)h,(13.12±1.26) h;the control group was (26.99±5.17) h,(21.92±3.17) h, the study group was significantly shorter than the control group(t=10.690 1, 17.305 2;P=0.000 0, 0.000 0);the study group NIPS score was (0.98±0.02)points and the control group was (1.67±0.34)points, and the study group was significantly lower than the control group(t=13.590 2,P=0.000 0). Conclusion Saifurun combined with comprehensive nursing can effectively improve the symptoms of pain and redness in patients with phlebitis caused by dopamine extravasation, and effectively prevent the occurrence of phlebitis.