黑芝麻小磨香油对盐酸胺碘酮注射液所致静脉炎的影响  

Effects of refined black sesame oil on amiodarone-induced phlebitis

作　　者：李艳玲[1] 刘兰[1] 赵子晖 冯翠娜[1] 陈熙[2] LI Yanling;LIU Lan;ZHAO Zihui;FENG Cuina;CHEN Xi(the First Ward of Cardiovascular Medicine,Affiliated Hospital of Hebei University,Baoding,Hebei,071000;Nursing Department,Affiliated Hospital of Hebei University,Baoding,Hebei,071000)

机构地区：[1]河北大学附属医院心血管内科一病区,河北保定071000 [2]河北大学附属医院护理部,河北保定071000

出　　处：《实用临床医药杂志》2022年第12期112-114,124,共4页Journal of Clinical Medicine in Practice

摘　　要：目的探讨黑芝麻小磨香油(简称香油)对盐酸胺碘酮注射液所致静脉炎的影响。方法选取心血管内科经外周静脉滴注盐酸胺碘酮注射液的住院患者50例为研究对象,并将其随机分为试验组和对照组,每组各25例,其中对照组失访1例。试验组患者穿刺后用3M透明敷料无张力固定,给药前在穿刺部位10 cm范围内均匀涂抹5滴香油至完全吸收,每6 h时涂抹1次,共涂抹4次。对照组穿刺后采用水胶体敷料固定留置针。比较2组患者不同时点静脉炎发生率,记录静脉炎严重程度及静脉炎出现时间。结果2组不同时点静脉炎发生率比较,差异无统计学意义(P>0.05);试验组静脉炎总发生率为48.00%,低于对照组的83.33%,差异有统计学意义(P<0.05);试验组静脉炎严重程度低于对照组,静脉炎发生时间晚于对照组,差异有统计学意义(P<0.05)。结论应用香油涂抹穿刺部位可以减少盐酸胺碘酮注射液所致静脉炎的发生,减轻静脉炎严重程度,同时延缓静脉炎的发生。Objective To investigate effects of refined black sesame oil(sesame oil) on amiodarone-induced phlebitis. Methods A total of 50 hospitalized patients who received intravenous infusion of amiodarone hydrochloride in department of cardiovascular medicine were randomly divided into experimental group and control group,with 25 cases in each group. One case was lost during follow-up in the control group. Patients in the experimental group were fixed with 3 M transparent dressing without tension and five drops of sesame oil were applied to the skin within a 10 cm radius of the infusion site prior to the administration of amiodarone until they were completely absorbed. Sesame oil was used every 6 h and for 4 times in total. The indwelling needle was fixed with hydrocolloid dressing after puncture in the control group. The incidence of phlebitis of two groups was compared,and severity of phlebitis and occurrence time of phlebitis was recorded. Results No significant differences were found in the incidence rates of phlebitis between the two groups at different time points(P>0.05). The total incidence of phlebitis in the experimental group was lower than that in the control group(48.00% versus 83.33%,P<0.05),and the severity of phlebitis was lower than that in the control group,and the occurrence time of phlebitis was latter than that in the control group(P<0.05). Conclusion The application of sesame oil on the puncture sites can reduce the incidence of phlebitis caused by amiodarone hydrochloride injection,relieve the severity of phlebitis,and delay the occurrence of phlebitis.

关 键 词：盐酸胺碘酮 静脉炎 黑芝麻小磨香油 水胶体敷料 留置针 3M透明敷料 

分 类 号：R543.6[医药卫生—心血管疾病] R473.5[医药卫生—内科学]