水胶体敷料防治心力衰竭患者静注多巴酚丁胺所致静脉炎的效果

Effect of hydrocolloid dressing on controlling phlebitis in heart failure patients caused by Dobutamine intravenous injection

目的探讨水胶体敷料防治心力衰竭(HF)静注多巴酚丁胺所致静脉炎的效果。方法选取2018年3月~2019年3月我院的104例用静脉滴注多巴酚丁胺治疗HF患者作为研究对象,按照静注后使用敷料不同分为观察组(52例)和对照组(52例)。对照组使用常规贴膜固定留置针,观察组除常规用贴膜固定外,在留置针穿刺点上方沿静脉走行方向覆盖水胶体敷料10 cm,比较两组静脉炎的发生情况。观察组例发生静脉炎15例,对照组发生静脉炎25例,对静脉炎患者,观察组仍用水胶体敷料外敷治疗,对照组用常规治疗。比较两组的治疗有效率、发生时间、治疗前后视觉模拟量表(VAS)评分。结果观察组的静脉炎严重程度轻于对照组,差异有统计学意义(P<0.05);观察组的治疗有效率高于对照组,差异有统计学意义(P<0.05);观察组的静脉炎发生时间<4 h发生率低于对照组,发生时间>8 h发生率高于对照组,差异有统计学意义(P<0.05);观察组的治疗后VAS评分低于对照组,差异有统计学意义(P<0.05)。结果在防治HF患者静注多巴酚丁胺所致静脉炎中,水胶体敷料的效果显著,可降低静脉炎发生率,延长留置针使用时间。

Objective To explore effect of hydrocolloid dressing on controlling phlebitis in heart failure(HF)patients caused by Dobutamine intravenous injection.Methods A total of 104 patients with HF who underwent Dobutamine intravenous injection in the hospital during the period from March 2018 to March 2019 were enrolled as study objects.According to different dressing after intravenous injection,they were divided into observation group(n=52)and control group(n=52).In control group,routine film was applied to fix indwelling needle.In observation group,addition to routine film fixation,10 cm hydrocolloid dressing was covered above puncture point of indwelling needle along vein going direction.The occurrence conditions of phlebitis were compared between the two groups.There were 15 cases with phlebitis in observation group,while 25 cases in control group.In terms of phlebitis patients,observation group was still treated with hydrocolloid dressing for external application,while control group was given routine treatment.The response rate of treatment,occurrence time,scores of visual analogue scale(VAS)before and after treatment were compared between the two groups.Results The phlebitis severity in observation group was lighter than that in control group(P<0.05).The response rate of treatment in observation group was higher than that in control group(P<0.05).The incidence of phlebitis occurrence time shorter than 4 h in observation group was lower than that in control group,while incidence of phlebitis occurrence time longer than 8 h was higher than that in control group(P<0.05).After treatment,VAS score of observation group was lower than that of control group(P<0.05).Conclusion In controlling phlebitis of HF patients caused by Dobutamine intravenous injection,the effect of hydrocolloid dressing is significant,which can decrease incidence of phlebitis,and prolong usage time of indwelling needle.