虎杖四黄汤湿热敷对预防七叶皂苷钠所致静脉炎临床研究

Clinical Study on Wet-Hot Compress with Huzhang Sihuang Decoction for Preventing Phlebitis Caused by Sodium Aescinate

目的:观察虎杖四黄汤湿热敷对预防七叶皂苷钠所致静脉炎的效果。方法:选取180例静脉滴注七叶皂苷钠患者为研究对象,按入院先后顺序分为对照组、硫酸镁组、虎杖四黄汤组各60例。对照组采用常规护理方案,治疗前常规宣教并加强巡视,查看局部皮肤情况及时给予处理;硫酸镁组采用50%硫酸镁湿敷膜外敷;虎杖四黄汤组采用虎杖四黄汤药液湿热敷。硫酸镁组及虎杖四黄汤组患者均在药物输注5 min后进行外敷保持到七叶皂苷钠输完30 min后撤除。疗程4 d,每天1次。比较3组静脉炎发生率、护理满意度,比较3组治疗前后疼痛评分的变化。结果:治疗4 d后,虎杖四黄汤组静脉炎发生率为11.67%,硫酸镁组静脉炎发生率为23.33%,对照组静脉炎发生率为33.33%,虎杖四黄汤组静脉炎发生率低于硫酸镁组及对照组,差异有统计学意义(P<0.05)。治疗4 d后,3组疼痛评分均较治疗前下降(P<0.05),采用单因素方差分析进行组间比较,差异有统计学意义(P<0.05);虎杖四黄汤组疼痛改善情况优于硫酸镁组和对照组,差异有统计学意义(P<0.05)。虎杖四黄汤组护理满意度为96.67%,硫酸镁组护理满意度为90.00%,对照组护理满意度为80.00%,差异有统计学意义(P<0.05)。结论:虎杖四黄汤湿热敷可有效预防输注七叶皂苷钠所致的静脉炎,有效减轻穿刺侧肢体疼痛,提高护理满意度及用药依从性。

Objective:To observe the prevention effect of wet-hot compress with Huzhang Sihuang Decoction on phlebitis caused by Sodium Aescinate.Methods:A total of 180 cases of patients underwent intravenous infusion of Sodium Aescinate were selected as the study objects and divided into the control group,the Magnesium Sulfate group and the Huzhang Sihuang Decoction group according to the order of admission,with 60 cases in each group.The control group was given routine nursing,with routine education and strengthened inspection before treatment,local skin conditions checking,and timely treatment;the Magnesium Sulfate group was given wet compressing with 50% Magnesium Sulfate;the Huzhang Sihuang Decoction group was given wet-hot compress with Huzhang Sihuang Decoction.The Magnesium Sulfate group and the Huzhang Sihuang Decoction group were given external application after5 minutes of drug infusion and were removed after 30 minutes of infusion with Sodium Aescinate.The treatment was performed once a day for 4 days.The incidence of phlebitis and nursing satisfaction were compared among the three groups,and the changes of pain scores before and after treatment were compared among the three groups.Results:After 4 days of treatment,the incidence of phlebitis was11.67% in the Huzhuang Sihuang Decoction group,23.33% in the Magnesium Sulfate group,and 33.33%in the control group.The incidence of phlebitis in the Huzhuang Sihuang Decoction group was lower than those in the Magnesium Sulfate group and the control group,the difference being significant(P<0.05).After 4 days of treatment,the pain scores in the three groups were decreased when compared with those before treatment(P<0.05);single factor analysis of variance was used for comparison among the three groups,the difference being significant(P<0.05);the pain improvement in the Huzhuang Sihuang Decoction group was better than that in the Magnesium Sulfate group and the control group,the difference being significant(P<0.05).Nursing satisfaction was 96.67% in the Huzhang Sihuang Decoction group,90.00% in the Magnesium Sulfate group,and 80.00% in the control group,the difference being significant(P<0.05).Conclusion:Wet-hot compress with Huzhang Sihuang Decoction can effectively prevent phlebitis caused by intravenous infusion of Sodium Aescinate,effectively reduce the pain of limbs at the puncture side,and improve the nursing satisfaction and medication compliance.