水胶体敷贴对静脉输液外渗致皮下淤血的效果观察  

Therapeutic effect of hydrocolloid dressings on subcutaneous ecchymosis caused by intravenous infusion extravasation

作　　者：程铭[1] 张琳[1] 王静[1] 管文琦[1] 方莉娜[1] 张蕙[1] 

机构地区：[1]同济大学附属杨浦医院,上海200090

出　　处：《上海护理》2015年第3期26-28,共3页Shanghai Nursing

基　　金：2012年度上海市杨浦区中心医院院级课题(Se1201234)

摘　　要：目的探讨水胶体敷贴对静脉输液外渗所致皮下淤血的效果。方法选择2012年11月—2013年11月收治于同济大学附属杨浦医院因静脉输液外渗致皮下淤血患者60例,随机分为观察组和对照组各30例。皮下淤血发生后的第2天开始,对照组采用50%硫酸镁溶液浸透纱布局部湿敷,观察组采用水胶体敷贴外敷,观察两组患者皮下淤血的面积、疼痛度及淤血消退时间。结果观察组皮下淤血的消退速度明显快于对照组,对照组在治疗后5 d内的疼痛程度评分明显高于观察组,两组比较差异均有统计学意义(P<0.05)。结论水胶体敷贴对在静脉输液外渗所致的皮下淤血能有效改善淤血程度,缩短淤血消退时间,且减轻疼痛。Objective To evaluate the therapeutic effect of local application of hydrocolloid dressings on subcutaneous ecchymosis caused by intravenous infusion extravasation. Methods A total of 60 patients with subcutaneous ecchymosis caused by intravenous infusion extravasation in Yangpu Hospital, Tongji University were selected from November 2012 to November 2013. They were randomly and equally divided into the experimental group and the control group. On the second day after formation of subcutaneous ecchymosis, the control group was treated with traditional hydropathic compress with magnesium sulfate and the experimental group was treated with local application of hydrocolloid dressings. The area of ecchymosis, degree of pain and fading time of ecchymosis were analyzed. Results The fading speed of subcutaneous ecchymosis in the experimental group was faster than that in the control group （ P 〈 0.05 ）. And the pain score in the control group was higher than that in the experimental group 5 d after treatment （ P 〈 0.05 ）. The average fading time of subcutaneous ecchymosis was （ 6.60 ± 1.28 ） d and （ 11.63 ±2.06 ） d in the experimental group and the control group, respectively. Conclusion Hydrocolloid dressings has prefect therapeutic effect on subcutaneous ecchymosis caused by intravenous infusion extravasation.

关 键 词：静脉输液外渗 皮下淤血 水胶体敷贴 效果 

分 类 号：R472[医药卫生—护理学]