湿热烧伤膏对神经外科正压静脉留置针留置时间的影响

Effect of Moist Exposed Burn Ointment on Retention Time of Positive Pressure Venous Needle in Neurosurgery Department

目的观察湿热烧伤膏对经正压静脉留置针输注特殊药物患者的正压静脉留置针留置时间的影响。方法选取昆明医科大学第三附属医院神经外科200例经正压静脉留置针输注高浓度、高刺激性药物患者,随机分为观察组及对照组(每组各100例),观察组应用湿热烧伤膏沿静脉走向涂抹厚度约1~2 mm,外层包裹保鲜膜,每日用药2次;对照组不使用任何药物干预,只采取常规护理措施。比较并发症发生率、留置针留置时间。结果正压静脉留置针置时间达72 h者,观察组为95%,对照组为76%,2组比较,差异有统计学意义(P <0.05);2组并发症发生率比较,观察组为4%,对照组34%,差异有统计学意义(P <0.05);2组满意度比较,对照组为96%,观察组78%,差异有统计学意义(P <0.05)。结论湿润烧伤膏对肿瘤神经外科经正压静脉留置针输注高浓度、高刺激性的特殊药物患者延长留置针留置时间、减少并发症效果显著,且经济实惠,值得临床借鉴。

Objective To investigate the effect of Moist Exposed Burn Ointment on the retaining time of positive-pressure intravenous indwelling needle in patients with infusion of special medications. Methods A total of 200 patients in our department who received high-concentration and highly irritating drugs via positive pressure intravenous indwelling needles were randomly divided into experimental group and control group(100 cases in each group). In experimental group,the Moist Exposed Burn Ointment was applied with a thickness of about 1~2 mm along the vein and wrapped with plastic wrap,twice a day. In control group routine nursing measures were used without any other drug intervention. The incidence of complications and the retaining time of indwelling needle were compared. Results 95% of the patients in the experimental group had an needle retention time of 72 h,while in the control group, only 76% of the patients had retention time of 72 h, and the difference was statistically significant(P < 0.05). The incidence of complications was 4% in the experimental group and 34% in the control group,with statistically significant difference between the two groups(P < 0.05). The satisfaction rate of the two groups was 96% in the control group and 78% in the observation group, and the difference was statistically significant(P < 0.05). Conclusion MEBO is effective in prolonging the retention time of the indwelling needle and reducing complications for patients with high-concentration and highly irritating drugs infused with a positive pressure intravenous indwelling needle in tumor neurosurgery. It is economical and worthy of clinical application.