摘要
目的探讨预防经外周静脉营养导致注射局部静脉炎发生的有效方法。方法将我科160例需外周静脉营养住院患者，按每月单双号第一次执行外周静脉营养输注分组，分为观察组82例，对照组78例，对照组采用渭良伤科油纱持续湿敷营养液输注的肢体；观察组在对照组的基础上增加肢体按摩，在营养液输注前5min、输注中4h、输注后5min配合渭良伤科油按摩输液肢体；对比两组患者静脉炎发生率、发生时间和其他并发症以及病人满意度效果评价。结果观察组静脉炎的发生率小于对照组（P=0．01），发生静脉炎的时间大于对照组（P=0．01），病人满意度优于对照组，差异有统计学意义（P〈0．001）。结论采用渭良伤科油持续湿敷并配合伤科油肢体按摩能有效预防经外周静脉营养引起静脉炎，减少静脉炎的发生，提高病人满意度，值得临床推广应用。
Objective To explore the effective way to prevent the phlebitis caused by PPN （PPN）. Methods 160 patients who needed support through PPN were allocated into 2 groups according to the monthly odd or even number of date when the patient was first treated through PPN. Control group （n=78）, in which the patients underwent continuous wet compress with Wei Liang Shangke oil to the limb where the nutrient fluid was injected. Study group （n=82） in which the patients received the management as the control group, and added massage to where the nutrient fluid was injected, at 5 minutes before, within 4 hours and 5 minutes after infusion. Incidence, time of phlebitis and other complications as well as the patients＇ satisfaction of two groups were comparatively assessed. Results The incidence of phlebitis in study group was less than that in control group （P=0.01）. Time of phlebitis in study group was latter than that in control group （P=0.01）. The patients＇ satisfaction in study group was better than that in control group （P〈0.001）. Conclusions It is effective to prevent the phlebitis caused by PPN, the patients could receive continuous wet compress with Wei Liang Shangke oil plus massage to the limb where the nutrient fluid is injected. The intervention can improve the patients＇ satisfaction too. It is worthy of clinical application.
出处
《国际医药卫生导报》
2013年第14期2213-2216,共4页
International Medicine and Health Guidance News
关键词
渭良伤科油
按摩
外周静脉营养
静脉炎
护理
Wei Liang Shangke oil
Massage
Peripheral parenteral nutrition （PPN）
Phlebitis
Nursing care
