微量泵静脉注射补钾3种缓解疼痛方法的比较  

Comparison of 3 Pain-relief Ways of Potassium Supplementation with Micro Pump

作　　者：靳雁[1] 张敏[2] 路伟[1] 惠娜[1] 聂燕[1] 宋汉歌[1] 李秦[1] 冯向英[1] 刘维[1] 代艳然[1] 杨艳[1] 赵海红[1] 

机构地区：[1]第四军医大学西京医院消化病研究所,陕西西安710032 [2]第四军医大学西京医院护理部,陕西西安710032

出　　处：《护理学报》2011年第6期1-3,共3页Journal of Nursing（China）

摘　　要：目的比较3种方法缓解微量泵静脉补钾疼痛的效果。方法选择120例需静脉补钾的患者,随机分为3组,药物热敷组30例,采用20 g/L利多卡因热敷静脉穿刺上方部位;输液稀释组35例,采用留置针同一静脉连接液体和微量泵补钾;常规护理组33例,仅采取常规护理措施。比较3组疼痛程度及有无静脉炎发生和静脉炎级别。结果 3组患者微量泵静脉补钾时疼痛程度差异有统计学意义,输液稀释组与药物热敷组比较(Z=3.338,P<0.001),输液稀释组与常规护理组比较(Z=6.554,P<0.001),药物热敷组与常规护理组(Z=3.974,P<0.001),差异均有统计学意义,输液稀释组疼痛程度最轻,其次是药物热敷组。3组患者微量泵静脉补钾时静脉炎发生情况比较差异有统计学意义,输液稀释组与药物热敷组比较(Z=4.966,P<0.001),输液稀释组与常规护理组比较(Z=6.410,P<0.001),差异均有统计学意义,输液稀释组静脉炎发生率最低。结论输液稀释法和药物热敷法都能有效缓解疼痛,输液稀释法疼痛程度和静脉炎发生率低于药物热敷法,且方法简便,安全可行,避免再次穿刺血管的痛苦,患者易于接受,减少护士的工作量。Objective To compare the effects of 3 pain-relief ways of potassium supplementation through intravenous infusion with micro pump.Methods 120 patients were randomly divided into 3 groups,including hot-compress-with-medicine group（n=30） with 20g/L lidocaine in venous puncture point through hot compress,dilution-through-injection group（n=35）,and conventional-nursing group（n=33）.Pain degree,incidence and degree of phlebitis in three groups were compared.Results There were statistical significances of the comparisons of pain degree and the incidence of phlebitis among three groups（P0.001）.Patients in group of dilution-through-injection felt less pain than those in other groups and there was less phlebitis in this group as well.Conclusion Both dilution through injection and hot compress with medicine could relieve pain effectively and patients could experience less pain and phlebitis through dilution through injection.

关 键 词：低钾血症 微量泵 静脉补钾 疼痛 

分 类 号：R471[医药卫生—护理学]