中药汽雾透皮疗法对外周静脉留置针所致静脉炎的疗效观察  

Observation on the Efficacy of Vapor-Mist Diacutis Therapy of Traditional Chinese Medicine for Peripheral Intravenous Indwelling Needle-Induced Phlebitis

作　　者：赵玉 刘兰克 杜鸽 ZHAO Yu;LIU Lan-ke;DU Ge(Department of Anesthesiology,Henan Provincial Hospital of Traditional Chinese Medicine(the Second Affiliated Hospital of Henan University of Chinese Medicine),Zhengzhou 450011,China)

机构地区：[1]河南省中医院(河南中医药大学第二附属医院)麻醉科,郑州450011

出　　处：《中国合理用药探索》2024年第9期89-94,共6页Chinese Journal of Rational Drug Use

基　　金：河南省中医药科学研究专项课题(2023ZY2092)。

摘　　要：目的:探讨中药汽雾透皮疗法治疗外周静脉留置针所致静脉炎的临床效果。方法:选取2022年9月~2023年9月期间于某院就诊的100例外周静脉留置针所致静脉炎患者作为研究对象,采用随机数字表法分为对照组和观察组,每组50例。对照组患者给予中药外敷治疗,观察组患者给予中药汽雾透皮疗法治疗。比较两组患者临床疗效、临床症状消失时间、病情改善情况、疼痛变化情况[数字分级评分法(NRS)]、安全性及护理满意度。结果:治疗后,观察组患者治疗总有效率(98.00%)高于对照组(82.00%,P<0.05);观察组患者红、肿、热、痛症状消失时间均短于对照组(P<0.05);观察组患者静脉炎分级改善情况优于对照组(P<0.05);观察组患者用药后30min、1h、3h、6h、12h、1d、2d、3d、4d和5d NRS评分均低于对照组(P<0.05)。两组患者安全性比较无统计学差异(P>0.05)。观察组患者护理总满意度(94.00%)高于对照组(70.00%,P<0.05)。结论:中药汽雾透皮疗法治疗外周静脉留置针所致静脉炎患者临床疗效较佳,可快速改善患者临床症状,减轻患者疼痛,提高患者满意度,且安全性较高。Objective:To explore the clinical efficacy of vapor-mist diacutis therapy of traditional Chinese medicine in the treatment of peripheral intravenous indwelling needle-induced phlebitis.Methods:A total of 100 patients with peripheral intravenous indwelling needle-induced phlebitis who visited a hospital from September 2022 to September 2023 were selected and divided into control group and observation group by random number table method,with 50 patients in each group.The control group was given external application of traditional Chinese medicine,and the observation group was given vapor-mist diacutis therapy of traditional Chinese medicine.The clinical efficacy,time to disappearance of clinical symptoms,improvement of condition,changes of pain[numerical rating scale(NRS)],safety and satisfaction to nursing care were compared between the two groups.Results:After treatment,the total response rate in the observation group(98.00%)was higher than that in the control group(82.00%,P<0.05).The times to disappearance of redness,swelling,warmth and pain in the observation group were shorter than those in the control group(P<0.05).The improvement of phlebitis grade in observation group was better than that in control group(P<0.05).The NRS scores at 30min,1h,3h,6h,12h,1d,2d,3d,4d and 5d after treatment in the observation group were lower than those in the control group(P<0.05).There was no statistically significant difference in safety profile between the two groups(P>0.05).The overall satisfaction of nursing in the observation group(94.00%)was higher than that in the control group(70.00%,P<0.05).Conclusion:Vapor-mist diacutis therapy of traditional Chinese medicine in the treatment of patients with peripheral intravenous indwelling needle-induced phlebitis has favorable clinical efficacy as demonstrated by rapidly improved clinical symptoms,alleviated pain and improved patients'satisfaction,with a high safety profile.

关 键 词：中药 汽雾透皮疗法 外周静脉 留置针 静脉炎 疼痛 

分 类 号：R472[医药卫生—护理学]