中药膏剂外敷预防缺血性脑卒中肢体障碍患者留置针发生静脉炎的临床研究  

Clinical research on the prevention of phlebitis caused by indwelling needle in patients with limb dysfunction due to ischemic stroke by external application of traditional Chinese medicine paste

作　　者：周建民 刘兰香 王帅[1] 刘红[1] 李燕[1] 田月 ZHOU Jianmin;LIU Lanxiang;WANG Shuai;LIU Hong;LI Yan;TIAN Yue(Department of Neurological Rehabilitation,the People’s Hospital of Gaomi City Affiliated to Weifang Medical University,Shandong,Gaomi 261500,China)

机构地区：[1]潍坊医学院附属高密市人民医院神经康复科,山东高密261500

出　　处：《中国医药科学》2024年第17期110-113,共4页China Medicine And Pharmacy

基　　金：山东省潍坊市科技发展计划项目(2021YX136);山东省潍坊市中医药科研项目计划(2020-4-121);2022年度青岛大学医疗集团科研项目(第19号)。

摘　　要：目的使用成人外周静脉留置针相关静脉炎风险评价(IINPR)量表工具,筛选使用静脉留置针的高风险缺血性脑卒中肢体障碍患者,使用外用中药疗法,进行静脉炎预防性干预对照研究。方法建立研究入组标准,选择2021年3月至2022年6月潍坊医学院附属高密市人民医院患者138例,采用随机数表法分为观察组和对照组,每组各69例。所有患者进行IINPR量表评分。两组患者均给予留置针常规维护方案,对IINPR量表评分≥4分患者涂敷中药膏剂预防外周静脉导管(PIVC)静脉炎。结果观察终点观察组IINPR量表评分为(3.13±1.01)分,低于对照组的(4.91±1.34)分,差异有统计学意义(P<0.05)。观察组静脉炎发生率为5.80%,低于对照组的18.84%,差异有统计学意义(P<0.05)。观察组静脉留置针留置时间为(97.74±6.88)h,长于对照组的(66.38±10.81)h,差异有统计学意义(P<0.05)。结论本研究中西医结合,采用IINPR量表评分,静脉炎高危患者及时采取中药外敷预防干预措施,可以降低缺血性脑卒中患者外周静脉导管静脉炎发生率、延长静脉留置针留置时间。Objective To screen the patients with high-risk ischemic stroke and physical disabilities using intravenous indwelling needles according to the tool of intravenous indwelling needle related phlebitis risk assessment(IINPR)scale,so as to carry out the control study of preventive intervention on phlebitis based on external Chinese materia medica therapy.Methods The research inclusion criteria was established.A total of 138 patients admitted to the People’s Hospital of Gaomi City Affiliated to Weifang Medical University from March 2021 to June 2022 were selected and divided into the observation group(n=69)and the control group(n=69)according to the random number table method.All patients were scored by IINPR scale.Both groups of patients were treated with conventional maintenance scheme of indwelling needle,and patients with IINPR scale score≥4 points were coated with Chinese materia medica ointment to prevent peripheral intravenous catheter(PIVC)phlebitis.Results The IINPR score of the observation group was(3.13±1.01)points,which was lower than that of the control group(4.91±1.34)points,and the difference was statistically significant(P<0.05).The incidence of phlebitis in the observation group was 5.80%,which was lower than the 18.84%in the control group,and the difference was statistically significant(P<0.05).The retention time of the intravenous catheter in the observation group was(97.74±6.88)hours,which was longer than that in the control group(66.38±10.81)hours,and the difference was statistically significant(P<0.05).Conclusion The combination of traditional Chinese and western medicine,scoring with IINPR scale,and timely preventive intervention measures for patients with high risk of phlebitis by external application of Chinese materia medica can reduce the incidence of peripheral intravenous catheter phlebitis in patients with ischemic stroke and prolong the retention time of intravenous indwelling needle.

关 键 词：中药膏剂 缺血性脑卒中 静脉炎 静脉炎风险评价量表 外周静脉留置针 肢体障碍 

分 类 号：R543.6[医药卫生—心血管疾病]