脉冲式冲管预防甘露醇输注致静脉炎的效果观察  

Pulsed Washing in Prevention of Intravenous Mannitol-induced Phlebitis

作　　者：林华瑶 王惠莹[1] 王秋杏 蚁泽宜 黄志民[1] 

机构地区：[1]汕头市澄海区人民医院,广东汕头515800

出　　处：《护理学报》2010年第3期67-68,共2页Journal of Nursing（China）

基　　金：汕头市重点科技计划项目(汕府科2009-70号)

摘　　要：目的观察甘露醇加温输液加生理盐水脉冲式冲管预防经静脉留置针输注甘露醇导致静脉炎的效果。方法选取2007—2009年每年1—3月住院经静脉留置针输注甘露醇治疗的清醒患者83例,按入院时间单双日分为观察组43例和常规组40例。两组均将20%甘露醇加温至25～35℃后以每125 ml不超过15 min的速度静脉滴注。观察组在甘露醇药液输完后用生理盐水10 ml脉冲式注射冲管,即每推注1 ml暂停1 s,再推1 ml,如此反复,直至推完,然后接上常规液体或正压封管。常规组在甘露醇药液输完后直接接上常规液体或正压封管。比较两组患者静脉炎的发生率及留置针的留置时间。结果两组患者静脉炎发生率及静脉留置针留置时间比较,差异均有统计学意义(P<0.05或P<0.01)。观察组静脉炎发生率较常规组明显降低,静脉留置针平均留置时间较常规组延长。结论生理盐水脉冲式冲管可降低甘露醇输注所致静脉炎发生率,延长留置针留置时间。Objective To observe the preventive effect of heated mannitol plus saline pulsed washing on phlebitis dued to mannitol infusion by intravenous indwelling needle. Methods 83 patients were divided into experiment group （n=43） and control group （n= 40）. Both groups were given injection of heated mannitol through intravenous indwelling needles （25～35℃, at a concentration of 20%） at the speed no less than 125 ml/15 min. After that, experiment group was pulsed infused with 10 ml saline at the speed of 1 ml every other second, which preceded conventional infusion or pressure sealing. The control group underwent conventional infusion or pressure sealing directly after mannitol infusion. The morbidity of phlebitis and duration of intravenous indwelling needles were compared between two groups. Results There were statistically significant differences in the morbidity of phlebitis and the duration of intravenous indwelling needles （P〈0.05 or P〈0.01）. Conclusion It is effective to prevent intravenous mannitol-indueed phlebitis through saline pulsed washing, and prolong the duration of intravenous indwelling needle.

关 键 词：静脉留置针 甘露醇 加温输液 脉冲式冲管 静脉炎 

分 类 号：R471[医药卫生—护理学]