鱼石脂软膏外敷预防精密过滤输液器滴注前列地尔所致静脉炎的疗效观察  

The Preventive Effect of Ichthyol Ointment for Phlebitis Caused by Alprostadil with Precision Filtration Device

作　　者：严鹏[1] 杨丽芳[1] 袁秀红[1] 

机构地区：[1]中山大学肿瘤防治中心,广东广州510060

出　　处：《中国医学创新》2017年第22期69-72,共4页Medical Innovation of China

摘　　要：目的:探讨10%鱼石脂软膏外敷预防精密过滤输液器滴注前列地尔注射液所致静脉炎的疗效。方法:选取本院2014年3月-2016年7月收治静脉滴注前列地尔注射液的70例患者,采用随机数字表法分为观察组和对照组,每组35例,对照组采用一次性静脉留置针(美国BD有限公司,规格:20 G×0.75 mm),前列地尔20μg溶于0.9%氯化钠注射液100 m L中,使用普通输液器进行输注,观察组采用一次性静脉留置针(美国BD有限公司,规格:22 G×0.9 mm),前列地尔20μg溶于0.9%氯化钠注射液250 m L中,使用精密过滤输液器,注射前30分钟采用10%鱼石脂软膏沿血管走向对穿刺部位周围皮肤用棉签均匀涂抹,厚度1 mm,使用纱布覆盖,24 h后将鱼石脂软膏清洗干净。观察两组静脉炎发生率和疼痛程度。结果:观察组静脉炎发生率和疼痛程度均低于对照组,差异均有统计学意义(P<0.05)。结论:10%鱼石脂软膏外敷可以有效降低前列地尔注射液所致静脉炎的发生率,减轻疼痛。Objective： To explore the preventive effect of 10% Ichthyol ointment for phlebitis caused by Alprostadil with precision filtration device.Method＂ From March 2014 to July 2016, 70 patients treated in our hospital underwent phlebitis caused by Alprostadil were selected, and divided into observation group and control group according to the random number table method, 35 cases in each group.The control group used disposable venous indwelling needle （ U.S.BD, 20 G x 0.75 mm ） and the Alprostadil （ 20 μ g ） was dissolved in 100 mL of sodium chloride injection with ordinary infusion device, the observation group used disposable venous indwelling needle （ U.S.BD, 22 G x 0.9 mm ） and Alprostadit （ 20 μ g ） was dissolved in 250 mL of sodium chloride injection with precision filtration device, 10% Ichthyol ointment was smeared along the blood vessels to puncture piont by swab at 30 minutes before the injection, the thickness was 1 mm, then covered by gauze, cleaned Ichthyol ointment after 24 hours, The incidence rate of phlebitis and pain degree of two groups were observed.Result： The incidence rate of phlebitis and pain degree of the observed group were lower than those of the control group, the differences were statistically significant （ P〈0.05 ） .Conclusion： The external application of 10% ichthyol ointment can decreased the incidence rate of phlebitis and alleviate pain degree caused by Alprostadil.

关 键 词：鱼石脂软膏 精密过滤输液器 前列地尔注射液 静脉炎 

分 类 号：R472[医药卫生—护理学]