局部氧疗对生长抑素所致静脉炎及外渗性损伤的防治研究  

Prevention and treatment of phlebitis and extravasation injury induced by soma-tostatin by local oxygen therapy

作　　者：陈丽丽 王家香 刘芳 Chen Lili;Wang Jiaxiang;Liu Fang(Department of Gastroenterology,the Affiliated Hospital of Southwest Medical University,Luzhou 646000,China)

机构地区：[1]西南医科大学附属医院消化内科,四川泸州646000

出　　处：《国际护理学杂志》2018年第18期2575-2578,共4页international journal of nursing

摘　　要：目的探讨局部氧疗对生长抑素静脉治疗所致静脉炎及外渗性损伤的预防和治疗效果。方法将该院2015年7月～2016年12月住院的临床静脉输注生长抑素的患者300例随机分成对照组和氧疗预防组，各150例。对照组按照静脉输液常规护理，氧疗预防组在使用生长抑素静脉治疗的同时对穿刺部位进行局部氧疗护理；将对照组发生静脉炎和（或）外渗性损伤的病例进一步分为硫酸镁治疗组和氧疗治疗组。根据静脉炎和外渗判断标准衡量预防及治疗效果，并进行统计分析。结果对照组中发生静脉炎和（或）外伤渗性损伤的比例为22％，而氧疗预防组发生率明显降低比例为6％，而且症状也较轻，差异有统计学意义（P〈0．001）。对照组中发生静脉炎和（或）外伤性损伤的有33例，对其中17例病例进行硫酸镁湿敷同时给予局部氧疗干预的缓解作用明显优于另外16例单独进行硫酸镁湿敷的效果，差异有统计学意义（P〈0．05）。结论局部氧疗对静脉输注生长抑素所致静脉炎及外渗性损伤有一定的预防和缓解效果。Objective To explore the effect of local oxygen therapy on the prevention and treatment of phlebi- tis and extravasation injury caused by somatostatin intravenous therapy. Methods A total of 300 cases of patients un- derwent clinic intravenous infusion with somatostatin in this department from July 2015 to December 2016 were randomly divided into the control group and oxygen therapy prevention group, 150 cases of each group. The control group re- ceived conventional nursing care of intravenous infusion, while the oxygen-prophylactic group received local oxygen-ther- apy care of the puncture site while using somatostatin intravenous therapy. The cases of phlebitis and （or） extravasation injury in the control group were further divided into magnesium sulfate treatment group and oxygen therapy group. The effect of prevention and treatment was measured according to the criteria of phlebitis and extravasation, and statistical a- nalysis was conducted. Results In the control group, the incidence of phlebitis and （or） traumatic osmotic injury was 22%, while in the oxygen therapy prevention group, the incidence was significantly reduced to 6%, and the symptoms were also mild, the difference was statistically significant （P〈0. 001 ）. In the control group, there were 33 cases of press alone. The difference was statistically significant （P〈0.05）. Conclusions Local oxygen therapy has a definite effect on myocardial vasculitis and exudative injury.

关 键 词：局部氧疗 生长抑素 静脉炎 外渗性损伤 防治 

分 类 号：R472[医药卫生—护理学]