摘要
目的:观察穴位敷贴联合芒硝防治静脉炎的临床效果。方法:将100例留置针静脉滴注治疗合并静脉炎患者,按随机数字表法分为2组,各50例。对照组给予以芒硝外敷治疗;观察组给予穴位敷贴联合芒硝外敷治疗。比较2组临床治疗效果、置管时间、疼痛视觉模拟评分法(VAS)评分、上肢肿胀臂围差值、生活质量和护理满意度情况。结果:治疗2 d、3 d、7 d,观察组总有效率分别为24.00%、68.00%、100%,对照组分别为8.00%、32.00%、84.00%,2组比较,差异有统计学意义(P<0.05)。治疗后2 d、3 d和7 d,观察组疼痛评分、上肢肿胀臂围差值均明显低于对照组,差异有统计学意义(P<0.05)。治疗后,观察组治愈时间小于对照组、置管时间大于对照组,差异均有统计学意义(P<0.05)。治疗后,观察组人员素质、病情观察和症状改善等护理满意度评分明显高于对照组,差异有统计学意义(P<0.05)。结论:穴位敷贴联合芒硝外敷能够有效提高静脉炎患者的治疗效率,缩短治愈时间,延长置管时间,改善疼痛评分和局部肿胀程度,提高生活质量和护理满意度。
Objective: To observe the clinical effect of point application combined with Natrii Sulfas in preventing and treating phlebitis. Methods:A total of 100 cases of patients with phlebitis treated by intravenous infusion of indwelling needle were selected and divided into two groups according to the random number table method, 50 cases in each group. The control group was given external application with Natrii Sulfas,and the observation group was additionally treated with point application based on the treatment of the control group. The clinical effect, the indwelling duration, the scores of Visual Analogue Scale(VAS), the D-value of arm circumference of swelling upper limbs and the nursing satisfaction in the two groups were compared. Results:After treatment for two,three and seven days respectively,the total effective rates were 24.00%,68.00% and 100% in the observation group and 8.00%,32.00% and 84.00% in the control group,the difference being significant(P<0.05). After treatment for two,three and seven days respectively,the VAS scores and the D-value of arm circumference of swelling upper limbs in the observation group were significantly fewer than those in the control group,the difference being significant(P<0.05). After treatment,the cured time in the observation group was less than that in the control group, the indwelling duration was more, differences being significant(P<0.05). After treatment, the nursing satisfaction scores including personnel quality, condition observation and symptom improvement in the observation group were significantly higher than those in the control group, the difference being significant(P<0.05). Conclusion: Point application combined with Natrii Sulfas for patients with phlebitis can effectively improve the treatment efficiency, VAS scores, local swelling and nursing satisfaction, shorten the cured time, and prolong the indwelling duration, which is worthy of clinical application and promotion.
作者
沈卫兰
汪焱开
张晓农
SHEN Weilan;WANG Yankai;ZHANG Xiaonong
出处
《新中医》
CAS
2021年第7期155-158,共4页
New Chinese Medicine
关键词
静脉炎
穴位敷贴
芒硝
疼痛评分
护理满意度
Phlebitis
Point application
Natrii Sulfas
Pain scores
Nursing satisfaction