正红花油局部按摩治疗外周静脉留置导管后静脉炎的疗效分析  

Local massage with safflower oil for phlebitis following peripheral intravenous catheters

作　　者：李玉琢[1] 魏兰[1] 薛娜娜[2] 王敏[1] 张京京[1] 栗爱珍[2] 

机构地区：[1]河北省胸科医院胸三科,石家庄050041 [2]河北省胸科医院呼吸内科,石家庄050041

出　　处：《国际中医中药杂志》2015年第6期509-512,共4页International Journal of Traditional Chinese Medicine

摘　　要：目的：评价正红花油局部按摩治疗外周静脉留置导管后静脉炎的临床疗效。方法本研究为随机对照研究。将符合纳入标准的静脉炎患者采用随机数字表法分为2组，正红花油组36例、硫酸镁组35例。硫酸镁组在发生静脉炎的穿刺处外敷33%的硫酸镁，正红花油组于静脉穿刺点周围3～5 cm处涂搽正红花油并按摩。2组均治疗48 h后采用视觉模拟评分量表（VAS）评价患者的疼痛程度，应用标记法标记、测量局部红肿面积。结果正红花油组治疗后48 h时VAS评分[0.81±0.13）分比（0.94±0.11）分；t＝4.543，P＜0.01]以及治疗后24 h[（3.62±1.22）cm2比（4.42±1.72）cm2；t＝2.335，P＝0.022]和48 h[（1.07±0.25）cm2比（3.26±1.07）cm2；t＝11.952，P＜0.01]局部红肿面积较硫酸镁组显著下降和缩小。结论正红花油局部按摩可有效缓解静脉炎程度，减轻患者自觉症状，降低VAS评分及局部红肿面积，促进受损组织恢复正常。ObjectiveTo evaluate the curative effect of local massage with safflower oil in patients with phlebitis following peripheral intravenous catheters.MethodsA total of 71 patients with phlebitis following peripheral intravenous catheters wererandomly divided into 2 groups, a safflower oil group with 36 cases, and a magnesium sulfate group with 35 cases. The magnesium sulfate group was treated by local external application of 33% magnesium sulfate on phlebitis at the puncture site, while the safflower oil group was treated by external application of safflower oil 3~5 cm around the peripheral vein puncture site and massage. Both groups were treated for 48 h. Visual Analog Scale （VAS） was used to assess pain degree, marking method to label the localred swelling area.ResultsThe VAS score （0.81±0.13vs.0.94±0.11;t=4.543,P〈0.01） at 48 h after the treatment, and the local red swelling area at 24 h （3.62±1.22 cm2vs.4.42±1.72 cm2;t=2.335, P=0.022） and 48 h （1.07±0.25 cm2vs.3.26±1.07cm2;t=11.952,P〈0.01） after the treatment in the safflower oil group were significant lower or smaller than the magnesium sulfate group.ConclusionsLocal massage with safflower oil can effectively alleviate the severity of phlebitis, relieve symptoms, reduce the score of VAS and local red swelling area, and promote the damaged tissue to restore normal.

关 键 词：静脉炎 输注 静脉内 红花油 按摩 硫酸镁 

分 类 号：R472[医药卫生—护理学]