局部减压法辅助治疗早产儿静脉输注脂肪乳外渗  

Local decompression for extravasation of intravenously administered fat emulsion as an adjuvant therapy for premature infants

作　　者：吕义荣[1] 孙慧[1] 谢集建[1] 

机构地区：[1]湖北医药学院附属太和医院儿科,湖北十堰442000

出　　处：《护理学杂志》2013年第21期34-35,共2页

摘　　要：目的探寻早产儿脂肪乳外渗后的治疗方法和护理措施。方法将静脉输注脂肪乳外渗的早产儿38例随机分为观察组和对照组各19例。观察组局部减压后再采用50%硫酸镁湿敷,对照组只采用50%硫酸镁湿敷。结果观察组脂肪乳外渗部位肿胀消退时间较对照组显著缩短(P<0.05)。观察组外渗局部皮肤有2例出现淤斑,对照组有9例出现淤斑、水疱、破溃或硬结等,两组比较,差异有统计学意义(P<0.05)。结论局部减压后再使用50%硫酸镁湿敷治疗早产儿脂肪乳外渗效果良好,局部并发症少,操作简便。Objective To explore an effective method for treatment of extravasation of intravenously administered fat emulsion.Methods Totally,38 premature infants developing extravasation during intravenous administration of fat emulsion were randomly divided into an observation group and a control group,either receiving local decompression before wet wrap therapy with 50% magnesium sulfate,or wet wrap therapy with 50% magnesium sulfate alone.Results The time for the swollen part to resolve in the observation group were signifiacntly shorter than in the control group(P<0.05).There are two infants in the observation group presenting bruising at the extravasation area,versus 9 cases in the control group developing bruising,blisters,skin breaks,or induration,with significant difference between the 2 groups(P<0.05).Conclusion With few skin complications and being easy to perform,local decompression before wet wrap therapy with 50% magnesium sulfate is effective in treating extravasation of intravenously administered fat emulsion.

关 键 词：早产儿 静脉输液 脂肪乳 输液外渗 局部减压 50%硫酸镁 护理 

分 类 号：R472[医药卫生—护理学] R473.72[医药卫生—临床医学]