红外线照射联合四黄散外敷防治PICC所致机械性静脉炎  

Infrared Irradiation Combined with Externally Applied Sihuang Powder on Mechanical Phlebitis Induced by PICC

作　　者：王红霞[1] 吴玉玲[1] 徐丽珍[1] 何丽君[1] 

机构地区：[1]广东省第二中医院白云院区内科,广东广州510405

出　　处：《湖北民族学院学报（医学版）》2014年第1期49-51,共3页Journal of Hubei Minzu University(Medical Edition)

摘　　要：目的观察红外线照射联合四黄散外敷预防及治疗PICC所致机械性静脉炎的效果。方法按置管先后顺序，将77例患者间隔分为观察组（38例）和对照组（39例）。观察组PICC置管后按常规方法进行导管护理，同时给予红外线局部照射3d和四黄散外敷3～7d。对照组给予常规PICC置管后导管护理，若发生机械性静脉炎，则给予红外线局部照射与四黄散外敷。比较两组患者静脉炎的发生率，并观察硫酸镁湿敷和红外线照射联合四黄散外敷治疗静脉炎的效果。结果观察组1例发生机械性静脉炎，发生率为2．6％；对照组共有6例发生机械性静脉炎，发生率为15．4％，两组比较差异有统计学意义（P〈0．05）。红外线照射联合四黄散外敷治疗PICC所致机械性静脉炎，6例（85．7％）治愈，1例（14．3％）有效，有效率100％；硫酸镁湿敷治疗机械性静脉炎，8例（53．3％）治愈，4例（26．7％）有效，有效率80．0％。红外线局部照射联合四黄散外敷治疗时间较硫酸镁湿敷治疗明显缩短（P〈O．05）。结论红外线局部照射联合四黄散外敷能有效防治PICC所致机械性静脉炎。Objective To observe the effect of infrared irradiation combined with sihuang powder for preventing and treating mechanical phlebitis.Methods 77 patients with PICC were divided in- to experimental group （38 cases） and control group （39 cases） according to priority. The pa- tients in the experiment group were treated with infrared irradiation and externally applied si- huang powder after PICC. The control group was given usual management. If phlebitis oc- curred, the infrared and Sihuang Powder would be used. The incidence of treating phlebitis was compared between two groups. On treating phlebitis, the effect of using the method of mag- nesium sulfate compressing was compared with that of using infrared irradiation combined with externally applied sihuang powder. Results The incidence of phlebitis in those two groups was 2.6%in the experimental group, and 15.4% in the control group with significant difference （P〈 0. 05）. As for those received treatment with infrared irradiati0~i＂combined with Sihuang Pow- der, 6 patients were healed（85.7%）, 1 patient improved measurably （14.3%）, the effective rate was 100%. While for those received usual management,8 patients were healed（53.3%）, 4 patient improved measurably （26.7%）, the effective rate was 80%. Compared with the method of magnesium sulfate compression, the treatment of infrared irradiation combined with sihuang powder compress was shorter （P〈0.05）.Conclusion Infrared irradiation combined with external-ly applied sihuang powder can prevent and treat mechanical phlebitis caused by PICC catheter- ization.

关 键 词：PICC 机械性静脉炎 红外线 四黄散 

分 类 号：R543.6[医药卫生—心血管疾病]