四黄散外敷预防全身麻醉时浅静脉置管引起的静脉炎  

Sihuangsan Hydropathic Compress in Prevention of Phlebitis Caused by Infusing Anesthetic in Superficial Vein

作　　者：俞益君[1] 顾爱莲[2] 胡晓斐[3] 蒋海芬 梅慧飞[1] 

机构地区：[1]舟山市人民医院普外科,浙江舟山316004 [2]舟山市人民医院肿瘤科 [3]舟山市人民医院科教科

出　　处：《解放军护理杂志》2010年第2期99-100,103,共3页Nursing Journal of Chinese People's Liberation Army

摘　　要：目的探讨四黄散外敷对全身麻醉患者浅静脉置管后静脉炎的预防与控制效果。方法选取全身麻醉下行腹部手术患者共120例,均于全身麻醉前行浅静脉置管,将所有患者随机分成观察组(穿刺点上方2 cm处沿静脉走向四黄散外敷)和空白对照组,观察两组患者术后静脉炎的发生率及静脉留置针留置时间。结果观察组静脉炎的发生率为5.2%,静脉置管时间为(5.21±2.015)d;对照组静脉炎的发生率为29.0%,静脉置管时间为(3.18±1.217)d,两组差异均有统计学意义(P<0.01)。结论预防性使用四黄散局部外敷可使全身麻醉患者浅静脉置管后静脉炎的发生率明显下降,延长静脉留置针的留置时间。Objective To study the effect of sihuangsan hydropathic compress in the prevention of phlebitis caused by infusing anesthetic in vein.Methods A total of 120 patients undergoing abdomen operations under general anesthesia were applied with superficial venous catheters and then randomly assigned into the observational group in which Sihuangsan was applied externally bt 2 cm above the puncture point of vein after the superficial venous catheters and the control group without sihuangsan hydropathic compress.The incidence of phlebitis and time of vein indwelling needle in two groups were observed.Results The incidence of phlebitis was 5.2% in the observational group and 29.0% in the control group.The average time of vein catheters was 5.21±2.015 d in the observational group and 3.18±1.217 d in the control group.The difference between the two groups had statistical significance(P<0.01).Conclusion Sihuangsan hydropathic compress could significantly reduce the incidence of phlebitis and prolong the time of superficial venous catheters for patients under general anesthesia.

关 键 词：四黄散 静脉炎 全身麻醉 预防 

分 类 号：R543.6[医药卫生—心血管疾病]