联合止痛消炎膏外敷治疗血管周围皮肤肿胀疗效观察  

Combination of analgesic antiphlogistic cream topical treatment curative effect observation of blood vessels surrounding skin swelling

作　　者：张华[1] 张业光[1] 

机构地区：[1]绵阳市中医医院,四川绵阳621000

出　　处：《基层医学论坛》2013年第31期4094-4095,共2页The Medical Forum

摘　　要：目的观察联合使用消炎止痛膏外敷治疗内瘘穿刺失败血液外渗致血管周围皮肤肿胀的临床效果。方法将34例血液外渗致血管周围皮肤肿胀的患者随机分为观察组和对照组,每组17例,观察组用土豆片+喜辽妥+止痛消炎膏外敷损伤内瘘侧肢体;对照组用冷敷+50%硫酸镁湿敷内瘘侧肢体。观察2组疗效及患者满意度情况。结果观察组痊愈8例,占47%,显效6例,占35%,有效3例,占18%;对照组痊愈3例,占18%,显效5例,占29%,有效7例,占41%,无效2例,占12%。观察组患者满意度为95%,对照组患者满意度为80%。观察组疼痛明显减轻,肿胀消除时间明显缩短,皮下瘀斑消散快,无1例内瘘栓塞。结论联合止痛消炎膏外敷治疗内瘘穿刺失败血液外渗致血管周围皮肤肿胀取材方便,疗效可靠,患者依从性高,值得推广。Objective To observe the combination of anti-inflammatory plaster topical treatment of fistula puncture failure within blood extravasation around blood vessels caused by swelling the clinical effect of skin. Methods 34 patients blood extravasation of xylene-induced ear edema blood vessels surrounding skin of patients, randomly divided into observation group and control group, each group of 17 cases, observation group with potato chips ＋ xi liao completed ＋ analgesic antiphlogistic cream topical side limb injury in fistula. In the control group with cold ＋ 50% magnesium sulfate wet？apply internal fistula side body. Results The observation group 8 cases cured, accounted for 47%, 6 cases had marked effect, 35%, 3 cases （18%）. And Control group recovered in 3 cases, accounting for 18%, 5 cases had marked effect, 29%, 7 cases （41%）, and ineffective in 2 cases, accounting for 12%. Observation group of patients satisfaction 95%, control group patients＇ satisfaction was 80%. Observation group significantly reduce pain, swelling, eliminate time significantly shortened, subcutaneous ecchymosis dissipate quickly, no internal fistula embolism. Conclusion The combined application of analgesic antiphlogistic cream, fistula puncture failure blood extravasation to surrounding skin swelling blood vessels more effective.

关 键 词：内瘘 穿刺失败 血管周围皮肤肿胀 止痛消炎膏 疗效观察 

分 类 号：R472[医药卫生—护理学]