四黄水蜜外敷预防喹诺酮类药物输液性静脉炎临床研究  

Clinical Study on Prevention of Quinolones Induced Transfusional Phlebitis by External Application with Sihuang Shuimi

作　　者：王伟平[1] 邓秋迎[1] 郭艳枫[1] 文娜[1] 陈丽琴[1] 郝苗 WANG Weiping;DENG Qiuying;GUO Yanfeng;WEN Na;CHEN Liqin;HAO Miao(Emergency Department,Guangdong Provincial Hospital of Chinese Medicine,Guangzhou Guangdong 510120,China)

机构地区：[1]广东省中医院急诊科,广东广州510120

出　　处：《新中医》2024年第21期155-158,共4页New Chinese Medicine

基　　金：广东省中医药局科研项目(20211192)。

摘　　要：目的:观察四黄水蜜外敷预防喹诺酮类药物输液性静脉炎的效果。方法:选取进行静脉输入喹诺酮类药物治疗的112例患者为研究对象,根据随机数字表法分为对照组和试验组各56例。对照组实施输液性静脉炎的常规防护干预,试验组在对照组基础上予四黄水蜜外敷干预。比较2组输液性静脉炎发生率、输液舒适度视觉模拟评分法(VAS)评分及输液护理满意度评分,观察干预期间不良反应发生情况。结果:试验组输液性静脉炎的发生率为3.6%,低于对照组30.4%,差异有统计学意义(P<0.05)。2组输注后肢体的活动度评分及总评分比较,差异有统计学意义(P<0.05)。试验组输液舒适度VAS评分低于对照组(P<0.05),输液护理满意度评分高于对照组(P<0.05)。结论:四黄水蜜外敷可有效预防诺酮类药物输液性静脉炎的发生,提高输液治疗舒适度和护理满意度,且该方法安全性高。Objective:To observe the effect of external application with Sihuang Shuimi on prevention of quinolones induced transfusional phlebitis.Methods:A total of 112 patients who received intravenous infusion of quinolones were selected as the study subjects,and were divided into the control group and the trial group,with 56 patients in each group,according to the random number table method.The control group received routine protective interventions for intravenous phlebitis,and the trial group received external application with Sihuang Shuimi based on the treatment of the control group.Compared the incidence of transfusional phlebitis,Visual Analogue Scale(VAS)scores of infusion comfort,and infusion nursing satisfaction scores between the two groups,and observed the occurrence of adverse reactions during the intervention period.Results:The incidence of transfusional phlebitis was 3.6%in the trial group,which was lower than that of 30.4%in the control group,the difference being significant(P<0.05).The difference in limb mobility scores and overall scores between the two groups after infusion showed significant(P<0.05).The VAS scores for infusion comfort in the trial group was lower than that in the control group(P<0.05),and the infusion nursing satisfaction score was higher than that in the control group(P<0.05).Conclusion:The external application of Sihuang Shuimi can effectively prevent the occurrence of quinolones induced transfusional phlebitis,and improve the comfort and nursing satisfaction of infusion treatment,with high safety.

关 键 词：输液性静脉炎 四黄水蜜 外敷 喹诺酮类药物 舒适度 护理满意度 

分 类 号：R472[医药卫生—护理学]