金黄膏或硫酸镁外敷对肌注苄星青霉素后局部组织肿胀疼痛的影响  

The External Application of Jinhuang Ointment or Magnesium Sulfate Has effect on Swelling and Pain in Local Tissue after Intramuscular Injection of Benzathine Penicillin

作　　者：王海焦[1] 胡光云[1] 林雪梅[1] 全小明[1] 曾珍[1] WANG Haijiao;HU Guangyun;LIN Xuemei;QUAN Xiaoming;ZENG Zhen

机构地区：[1]广州中医药大学第一附属医院,广东广州510405

出　　处：《新中医》2018年第11期226-228,共3页New Chinese Medicine

基　　金：2014年广东省医学科研基金项目(E1-KFC110141K06)

摘　　要：目的:观察比较金黄膏、50%硫酸镁外敷对肌肉注射苄星青霉素后局部组织肿胀疼痛的影响。方法:选取在本院行苄星青霉素臀大肌肌肉注射的患者120例,将其分为对照组、金黄膏组、硫酸镁组各40例。3组均于注射完成后,压迫注射针口20～30 s,未见针口出血。对照组立即将浸泡过生理盐水的纱块贴在注射局部。硫酸镁组则用50%硫酸镁浸泡的纱块湿敷注射局部。金黄膏组用棉签将金黄膏均匀涂在注射局部,再用纱块覆盖。比较3种外敷方法 30 min后患者局部的红肿、疼痛及皮下硬结的情况。结果:所有患者肌肉注射苄星青霉素疼痛视觉模拟评分法(VAS)评分平均(5.74±1.05)分;3组疼痛评分比较,差异无统计学意义(P> 0.05),具有可比性。硫酸镁组、金黄膏组在注射完成30 min后VAS评分低于对照组,硫酸镁组在注射完成30 min后VAS评分低于金黄膏组,差异均有统计学意义(P <0.05)。对照组皮下硬结发生率为12.5%,硫酸镁组皮下硬结发生率为5.0%,金黄膏组未发生皮下硬结,差异有统计学意义(P <0.05)。3组护理工作满意度比较,金黄膏组满意度高于对照组,差异有统计学意义(P <0.05)。结论:使用50%硫酸镁、金黄膏能有效减轻患者肌注苄星青霉素后疼痛,金黄膏能有效减少注射后皮下硬结的发生率。Objective： To observe and analyze the effect of the external application of Jinhuang ointment or magnesium sulfate in 50% on swelling and pain in local tissue after intramuscular injection of benzathine penicillin. Methods： Divided 120 cases of patients who received intramuscular injection of benzathine penicillin in gluteus maximus into the control group, the Jinhuang ointment group and the magnesium sulfate group randomly, 40 cases in each group. After injection, each group received pinhole-pressing for 20 to 30 seconds, no bleeding in the pinhole. The control group immediately stuck the gauze once soaked in normal saline at the injection site. The magnesium sulfate group used the gauze soaked in 50% of magnesium sulfate for wet packing at the injection site. The Jinhuang ointment group applied Jinhuang ointment by cotton swab at the injection site, and covered with gauze. Compared the conditions of local swelling, pain and subcutaneous induration of patients after using the three types of external application methods for 30 minutes. Results： The VAS score of intramuscular injection of benzathine penicillin of all patients was（5.74＋ 1.05） on average： comparing the VAS scores in each group, there was no significant difference being found（P 〉 0.05）, results being comparable. After injection for 30 minutes, the VAS scores in the magnesium sulfate group and the Jinhuang ointment group were lower than those in the control group, and the VAS scores in the magnesium sulfate group were lower than those in the Jinhuang ointment group, differences being significant （P 〈 0.05}. The incidence of subcutaneous induration was 12.5% in the control group and 5.0% in the magnesium sulfate group, and no subcutaneous induration occurred in the Jinhuang ointment group, difference being significant （P 〈 0.05）. Comparing the satifaction of nursing service in each group, It was higher in the Jinhuang ointment group than in the comtrol group, difference being signficant（P 〈 0.05）. Conclusion： The e

关 键 词：肌肉注射 苄星青霉素 局部组织肿胀 疼痛 金黄膏 硫酸镁 

分 类 号：R441.1[医药卫生—诊断学]