化疗药物性静脉炎的预防与护理  

The prevention and nursing of chemotherapy phlebitis

作　　者：杜彦丽[1] 刘晶[1] 蒋菁梅[1] 白玮[1] 

机构地区：[1]首都医科大学附属北京同仁医院胸外科,100730

出　　处：《中华现代护理杂志》2010年第26期3152-3153,共2页Chinese Journal of Modern Nursing

摘　　要：目的 探讨化疗药物性静脉炎的预防与护理效果.方法 将122例晚期非小细胞肺癌患者化疗后随机分为治疗组和对照组各61例,治疗组给予地塞米松5 mg静脉推注,对照组不进行静脉炎的预防处理.结果 治疗组发生静脉炎18例次,发生率为29.5%,对照组发生42例次,发生率为68.9%.治疗组静脉炎发生率明显低于对照组,差异有统计学意义（P〈0.01）.结论 地塞米松可以显著降低化疗药物性静脉炎的发生率及严重程度.同时积极地护理也可以有效降低静脉炎的发生率.Objective To explore the effects of prevention and nursing of chemotherapy phlebitis.Methods 126 patients with advanced non-small cell lung cancer after chemotherapy were divided into two groups, treatment group was given dexamethasone 5mg intravenous injection, the control group was not given the preventive treatment of phlebitis.Results The phlebitis of the treatment group was 18 cases, the rate was 29.5 %, and the phlebitis of the control group was 42 cases and the rate was 68.9%.Compared with the control group, the incidence of phlebitis in treatment group were signiticantly decreased （P 〈 0.01）.Conclusions Dexamethasone can reduce the incidence of chemotherapy drug-induced phlebitis and its severity.Positive nursing also can reduce the incidence of phlebitis.

关 键 词：化疗 静脉炎 地塞米松 护理 

分 类 号：R472[医药卫生—护理学]