纳米银抗菌凝胶联合水胶体敷料治疗高渗性药物输液外渗与静脉炎的效果评价  

Effects of nano-silver antimicrobial gel combined with hydrocolloid dressing on hyperosmotic drugs infusion extravasation and phlebitis

作　　者：方二四 方慧姬 邹烂辉 Fang Ersi;Fang Huiji;Zou Lanhui(Nursing Department, the First People's Hospital of Pingjiang of Hu'nan Province, Yueyang 410400, China;Department of Neurology, the First People's Hospital of Pingjiang of Hu'nan Province, Yueyang 410400, China;General Surgery, the First People's Hospital of Pingjiang of Hu'nan Province, Yueyang 410400, China)

机构地区：[1]湖南省平江县第一人民医院护理部,岳阳410400 [2]湖南省平江县第一人民医院神经内科,岳阳410400 [3]湖南省平江县第一人民医院普外科,岳阳410400

出　　处：《中华现代护理杂志》2019年第17期2213-2217,共5页Chinese Journal of Modern Nursing

摘　　要：目的探讨纳米银抗菌凝胶联合水胶体敷料治疗高渗性药物输液外渗与静脉炎的效果。方法采用便利抽样法,选取2017年1月—2018年8月在平江县第一人民医院发生高渗性药物输液外渗与静脉炎患者120例,分为3组,A组40例采用纳米银抗菌凝胶联合水胶体敷料治疗,B组40例采用水胶体敷料治疗,C组40例采用50%硫酸镁湿热敷,治疗时效均为7 d。观察评价3组患者治疗输液外渗与静脉炎的疗效、疼痛程度、满意度、治愈时间、护理时数。结果治疗7 d后,A组治愈28例,有效12例,无效0例;B组治愈20例,有效14例,无效6例,C组治愈16例,有效13例,无效11例,经两两比较A组有效率高于其他两组,与B、C比较差异均有统计学意义(P<0.05)。3组患者疼痛程度、满意度评分、治愈时间、护理时数差异均有统计学意义(P<0.05)。结论纳米银抗菌凝胶联合水胶体敷料治疗高渗性药物输液外渗与静脉炎疗效显著,是一种既简单又经济有效的治疗方法,能够快速缓解患者疼痛,减少护理人员工作量。Objective To explore the effects of nano-silver antimicrobial gel combined with hydrocolloid dressing on hyperosmotic drugs infusion extravasation and phlebitis. Methods From January 2017 to August 2018, we selected 120 patients with hyperosmotic drugs infusion extravasation and phlebitis at the First People's Hospital of Pingjiang by convenience sampling. All of the patients were divided into three groups including group A (n=40, nano-silver antimicrobial gel combined with hydrocolloid dressing), group B (n=40, hydrocolloid dressing) and group C (n=40, 50% magnesium sulfate hot-wet compression) all with intervention for 7 days. We evaluated the effects, pain, satisfaction, healing time and nursing hours of treatment for patients with infusion extravasation and phlebitis among three groups. Results A total of 7 days after treatment, 28 cases were cured, 12 were effective and 0 was ineffective in group A;20 cases were cured, 14 were effective and 6 were ineffective in group B;16 cases were cured, 13 were effective and 11 were ineffective in group C. The effective rate of group A was higher than those of other two groups (P<0.05);there was statistical difference in the effective rate between group B and group C. There were statistical differences in pain, satisfaction, healing time and nursing hours among three groups (P<0.05). Conclusions Nano-silver antimicrobial gel combined with hydrocolloid dressing has significant treatment effects on hyperosmotic drugs infusion extravasation and phlebitis which is a simple and cost-effective approach, and can quickly relieve the pain of patients and reduce workloads of nurse.

关 键 词：静脉炎 输液外渗 纳米银抗菌凝胶 水胶体 硫酸镁湿热敷 

分 类 号：R472[医药卫生—护理学]