静脉输入甘露醇外渗用50%葡萄糖加利多卡因外敷的临床观察  

Clinical Observation of Intravenous Infusion Mannitol Exudation Using 50% Glucose and Lidocaine Wet Compress

作　　者：邱菊香 

机构地区：[1]湖南省中医药大学第一附属医院肿瘤科,湖南长沙410007

出　　处：《中国医药指南》2013年第17期426-427,共2页Guide of China Medicine

摘　　要：目的探讨静脉输入甘露醇外渗采用50%葡萄糖加利多卡因外敷的效果。方法将本科室从2009年1月至2012年10月发生的因静脉输入甘露醇引起外渗的患者80例,随机分为实验组和对照组各40例。实验组给予50%葡萄糖加利多卡因外敷患处皮肤,对照组给予50%硫酸镁湿敷患处皮肤。疼痛程度采用视觉模拟评分尺进行评分,分别于外敷前及外敷1h后观察两组患者的疼痛程度及观察两组患者的疗效。结果实验组患者外敷1h后疼痛程度较对照组明显减轻,渗出局部组织红、肿、疼痛症状消失快,二者比较(P<0.01)差异有统计学意义。结论 50%葡萄糖加利多卡因外敷治疗静脉输入甘露醇外渗的疗效优于50%硫酸镁外敷的疗效。Objective To observe intravenous infusion mannitol exudation by 50% glucose and lidocaine wet compress. Methods There were 80 inpatients with intravenous infusion mannitol exudation in our department, which from Jan 2009 to Oct 2012. They were randomly divided into experimental group and control group, each group was 40 cases, experiment group was given 50% glucose and lidocaine to wet compress the skin lesion, control group was given 50% magnesium sulfate to wet compress the skin lesion. Using visual analogue scale to score pain intensity, the pain intensity and efficacy of the two group patients before compress and after compress lh were observed. Result The pain intensity of experimental group after compress lh was released significantly compared with that of control group, and the redness, swelling, pain of leakage local tissue disappeared rapidly had significant differences between the both groups （P〈0.01） .Conclusion 50% glucose and lidocaine wet compress to treat intravenous infusion mannitol exudation is markedly exact comparing with 50% magnesium sulfate to wet compress.

关 键 词：50%葡萄糖 利多卡因 甘露醇 静脉输入 外渗 

分 类 号：R73[医药卫生—肿瘤]