复方黄柏液在PICU患儿持续静点咪达唑仑所致静脉炎中的应用分析  

Analysis of application of compound cortex phellodendron solution on phlebitis caused by midazolam in children within PICU

作　　者：赵璠[1] 杨芳[1] 贺琳晰[1] ZHAO Fan;YANG Fang;HE Lin-xi(PICU,Shengjing Hospital of China Medical University,Shenyang 110004,China)

机构地区：[1]中国医科大学附属盛京医院PICU

出　　处：《实用药物与临床》2019年第8期846-849,共4页Practical Pharmacy and Clinical Remedies

摘　　要：目的对重症患儿经外周静脉持续静点咪达唑仑导致静脉炎发生率进行统计并对其原因进行分析,应用复方黄柏液实施不同方法的湿敷治疗咪达唑仑所致静脉炎,并对其效果进行评价。方法随机选取2016年6月至2018年6月收治的需要使用咪达唑仑镇静的患儿470例,分析给予咪达唑仑注射液治疗后患儿出现静脉炎的原因。对静脉炎患儿给予复方黄柏液2种不同湿敷方法护理,观察组给予6h黄柏液冰湿敷,6h后用黄柏液湿敷治疗方法,对照组仅用黄柏液湿敷。观察两组患儿静脉炎平均恢复时间。结果持续静点咪达唑仑静脉炎的发生率为23.83%,发生的部位均为手背、腕部、肘部及内踝,两组患儿静脉炎发生部位例数比较,差异无统计学意义(P>0.05);观察组患儿各程度静脉炎护理有效时间均短于对照组,差异有统计学意义(P<0.05);观察组治疗方法对于咪达唑仑注射液所致静脉炎的护理效果优于对照组,差异有统计学意义(P<0.05)。结论PICU患儿静点咪达唑仑易发生静脉炎,可选择复方黄柏液湿敷对其进行护理,且及时应用6h黄柏液冰湿敷后,用黄柏液湿敷的护理方法效果显著。Objective To conduct the incidence statistics and cause analysis for phlebitis caused by applying peripherally continuous intravenous infusion of midazolam to critically ill children, implement different wet compressing methods to provide treatment for the phlebitis by using compound cortex phellodendron solution, and evaluate its effectiveness. Methods Randomly select 470 cases of children admitted between June 2016 and June 2018,whose treatment required sedation using midazolam, and analyze the causes for phlebitis in children who received the midazolam infusion treatment. Two different types of nursing by wet compressing with compound cortex phellodendron solution were provided for the children with phlebitis;the ice wet compressing with compound cortex phellodendron solution was used for 6 hours in the observation group, then the method of wet compressing with compound cortex phellodendron solution was used. In the control group,o nly wet compressing with compound cortex phellodendron solution was used. The average recovery time was observed on children with phlebitis in the two groups. Results The incidence of phlebitis caused by continuous intravenous infusion of midazolam was 23. 83%,with all the occurrences existing in areas of opisthenar, wrist, elbow and medial malleolus, and by comparison of cases of occurrence in each area in both groups of children with phlebitis, the differences were not statistically significant ( P > 0. 05). The time of effective nursing for children with phlebitis at all levels was shorter in observation group than that in the control group,with a statistically significant difference ( P < 0. 05). The effectiveness of method used for treating phlebitis caused by continuous intravenous infusion of midazolam in the observation group was superior to that of the control group,with a statistically significant difference ( P < 0. 05). Conclusion Children in the PICU receiving continuous intravenous infusion of midazolam are susceptible to phlebitis,which can be treated by applying wet

关 键 词：咪达唑仑 静脉炎 复方黄柏液 湿敷 

分 类 号：R473.72[医药卫生—护理学]