生理盐水加量冲洗法对化疗患者静脉保护作用的临床观察  

Clinical Effect of Increasing Swashing with Normal Saline on Venous Protection in Chemotherapy Patients

作　　者：朱虹[1] 高柏青[1] 李艳梅[1] 霍红[1] 

机构地区：[1]沈阳军区总医院中医科,辽宁沈阳110015

出　　处：《解放军护理杂志》2000年第5期7-8,共2页Nursing Journal of Chinese People's Liberation Army

摘　　要：目的　探讨加量生理盐水冲洗法对化疗患者的静脉保护作用。方法　采用自身对照方法 ,将每例患者的两臂随机分成对照组和观察组 ,各 48例次。观察组先以生理盐水引路穿刺 ,待确保针头在血管内再推入或输入化疗药物 ,输毕用生理盐水 2 0 ml静推冲洗血管 ,然后以 40～ 6 0滴 /min的速度滴入余量生理盐水。对照组按常规方法静滴。观察疗程中静脉炎发展程度及血管疼痛 ,并进行对比分析。结果　生理盐水加量冲洗法较常规滴注法预防静脉炎效果显著 ,观察组静脉炎发生率为 2 9.1% ,对照组则为 83.3% ,局部血管疼痛观察组低于对照组 (P <0 .0 5 )。结论　加量生理盐水冲洗法对化疗患者的静脉有明显的保护作用 ,特别对长期需要静脉化疗给药的患者可有效降低静脉炎发生率。A clinical effect of increasing swashing with normal saline on venous protection were observed in 60 chemotherapy patients by using self-comparison method.Four hundred and fighty ml normal saline was injected at a rate of 40～60 drops per minute in the observation group after chemotherapy.The result showed that the rate of inflammation was reduced(29.1%) compared with the routine group(83.3%)(P<0.05).The rate of pain at the local site(14.6) was lower than that of the control group(52.1%)(P<0.05).It is suggested that increasing swashing with normal saline has protection effect on the vein in chemotherapy patients and reduces the rate of venous inflammation.

关 键 词：生理盐水 对照组 化疗患者 静脉炎 观察 静脉保护 血管 结论 发展程度 常规方法 

分 类 号：R473.73[医药卫生—护理学] R472[医药卫生—临床医学]