四黄膏外敷对输液引起静脉炎的预防效果观察

Sihuang ointment external application on prevention of phlebitis caused by infusion

目的探究四黄膏外敷预防输液相关不良反应的效果。方法选择2016年5月至2018年5月期间在本院住院治疗实施静脉输液86例患者作为研究对象,按随机数表法分成两组,各43例。对照组采用硫酸镁湿敷,观察组采取四黄膏外敷,比较两组输液相关不良反应发生率、静脉损伤程度及疼痛度、舒适度及睡眠质量。结果观察组静脉炎、发热反应及肺循环负荷过量等不良反应发生率均低于对照组,差异有统计学意义(P<0.05);观察组静脉损伤程度低于对照组,差异有统计学意义(P<0.05);观察组穿刺侧肢视觉疼痛模拟(VAS)评分、匹兹堡睡眠质量指数(PSQI)评分均低于对照组,而简化舒适状况量表(GCQ)评分高于对照组,差异有统计学意义(P<0.05)。结论与硫酸镁相比,四黄膏外敷可有效预防输液过程中静脉炎及其他不良反应的发生,减轻患者痛苦,提高舒适度。

Objective To explore the effect of external application of Sihuang ointment to prevent transfusion related adverse reactions.Methods From May 2016 to May 2018,86 patients with intravenous infusion in our hospital were divided into two groups according to the random number table method,with 43 cases in each group.The control group was treated with magnesium sulfate wet compress,and the observation group was treated with Sihuang ointment.The incidence of adverse reactions related to infusion,the degree of venous injury,pain,comfort and sleep quality were compared between the two groups.Results The incidence of adverse reactions such as phlebitis,fever and pulmonary circulation overload in the observation group were lower than those in the control group,and the difference was statistically significant(P<0.05).The score of PSQI was lower than that of the control group,while the score of GCQ was higher than that of the control group(P<0.05).Conclusion Compared with magnesium sulfate,Sihuang ointment can effectively prevent phlebitis and other adverse reactions during infusion,relieve pain and improve comfort.