摘要
目的探讨康惠尔透明贴预防外周静脉营养所致静脉炎的效果。方法收集2014年4月1日-10月30日期间所收治的320例需外周静脉营养患者的临床资料,按随机数字表方法将患者随机分为干预组和对照组,各160例,对照组用3 M透明敷贴覆盖(6 cm×7 cm)留置针穿刺点并起固定作用,干预组用康惠尔透明贴(5 cm×7 cm)覆盖穿刺点及穿刺血管近心端静脉走向的皮肤上7 cm,再使用3 M透明贴(6 cm×7 cm)覆盖在康惠尔透明贴和留置针上起固定作用。结果干预组和对照组各发生静脉炎64、115例,对照组静脉炎发生率明显高于干预组,差异具有统计学意义(χ2=32.978,P<0.001)。静脉炎的严重程度对照组同样高于干预组,差异具有统计学意义(Z=-4.466,P<0.001)。结论康惠尔透明贴可有效预防和延缓外周静脉营养所致静脉炎的发生。
Objective To investigate the effectiveness of hydrocolloid dressing in preventing peripheral phlebitis due to intravenous infusions.Methods From April 1 st to October 30 th,2014,320 patients admitted in the Biliary Department of West China Hospital for parenteral nutrition were collected along with their clinical data and were randomly divided into control group and intervention group.A total of 160 patients who were allocated in the control group accepted simple dressing with 3 M adhesive tape( 6 cm× 7 cm) at the intravenous catheter site.In contrast,hydrocolloid dressing( 5 cm× 7 cm) was applied at the intravenous catheter site and then covered with 3 M adhesive tape( 6 cm× 7 cm) for the patients in the intervention group.Results Phlebitis rate was significantly higher in the control group( 115 patients) than that in the interventions group( 64 patients)(χ ^2 = 32.978, P 〈0.001).In addition,the severity of phlebitis was higher in the control group than that in the intervention group(Z=- 4.466, P 〈0.001).Statistically significant difference was noted.Conclusion Hydrocolloid dressing is effective in preventing and delaying the occurrence of peripheral phlebitis due to intravenous infusions.
出处
《华西医学》
CAS
2015年第7期1288-1290,共3页
West China Medical Journal
关键词
外周静脉营养
静脉炎
康惠尔透明贴
预防
Intravenous infusions
Phlebitis
Hydrocolloid dressing
Prevention