四黄水蜜在输液性静脉炎中的应用效果及对疼痛的影响(1)
[摘要]目的 探讨四黄水蜜在输液性静脉炎中的应用效果及对疼痛的影响。方法 选取2017年3月～2019年3月我院收治的80例输液性静脉炎患者，根据问诊时间顺序分为观察组和对照组，每组各40例。对照组给予硫酸镁(50%)外敷，观察组给予四黄水蜜涂抹，采用视觉模拟量表(VAS)评分对两种方法的影响进行分析，同时比较两组护理总有效率。结果 观察组护理总有效率高于对照组，差异有统计学意义(P<0.05)。在8、24、48、72 h四个时间节点，观察组的VAS评分低于对照组，差异均有统计学意义(P<0.05)。结论 四黄水蜜在输液性静脉炎中的应用效果显著，可有效缓解输液性静脉炎患者局部疼痛，值得临床推广应用。
[关键词]四黄水蜜;输液性静脉炎;视觉模拟量表评分;应用效果;中药外敷
[Abstract] Objective To explore the application effect of Sihuang Shuimi in infusion phlebitis and its effect on pain. Methods Eighty patients with infusion phlebitis treated in our hospital from March 2017 to March 2019 were selected and divided into observation group and control group according to the sequence of the patients′ consultation， 40 cases in each group. In the control group， Magnesium Sulfate (50%) was applied externally， and in the observation group， Sihuang Shuimi was applied. The visual analog scale (VAS) was used to analyze the effect of the two methods. The total nursing effectiveness rate of the two groups was compared. Results The total effectiveness rate of the observation group was higher than that of the control group， and the difference was statistically significant (P<0.05). At the time points of 8， 24， 48， and 72 h， the VAS scores of the observation group were lower than those of the control group， with statistical differences (P<0.05). Conclusion The application of Sihuang Shuimi in infusion phlebitis is remarkable. It can effectively alleviate the local pain felt by patients with infusion phlebitis， and it is worthy of widespread popularization and application in clinic.
[Key words] Sihuang Shuimi; Infusion phlebitis; Visual analog scale score; Application effect; External application of Chinese herbal medicines
静脉炎的成因相对复杂，静脉壁肿胀、肢体组织损伤、肢体制动等因素，均有可能导致静脉炎。在临床上，静脉炎常见于静脉穿刺输液部位，将此类情况称为输液性静脉炎。输液性静脉炎为输注药物有刺激性或导管损伤静脉所致，且输液性静脉炎多见患有下肢静脉曲张患者，因其本身的静脉迂曲，瓣膜功能不完善，在输液时，静脉压力升高，引发炎症。输液性静脉炎多见于患者四肢，少数为胸腹处，极少数为游走性发作。输液性静脉炎主要表现为红肿、灼热、压痛、疼痛等，肢体或胸腹表面有硬结表现，若急性发作，那局部会出现变硬等问题，且肤色素在局部沉着，时常伴随瘙痒等情况。输液性静脉炎若得不到有效控制，对患者的生命健康造成严重影响。输液性静脉炎治疗方法较多，如硫酸镁(50%)外敷、激光治疗、消炎药口服等[1]。四黄水蜜有消炎镇痛、活血化瘀之功效，可有效开结行滞，深入人体皮肤，对输液性静脉炎治疗在医疗界初步得到认可。本研究分析四黄水蜜治疗输液性静脉炎的效果，现报道如下。
1资料与方法
1.1一般资料
选取2017年3月～2019年3月我院收治的80例输液性静脉炎患者，根据问诊时间顺序分为观察组和對照组，每组各40例。观察组中，男27例，女13例;年龄22～59岁，平均(37±11)岁。对照组中，男17例，女23例;年龄24～65岁，平均(42±13)岁。两组的性别、年龄等一般资料比较，差异无统计学意义(P>0.05)，具有可比性。患者及家属了解本研究内容，并签订知情同意书。本研究通过我院医学伦理委员会审核批准。
纳入标准：①患者有不同程度的发红、肿胀、静脉条索纹、硬结症状;②患者符合英国医学研究委员会制定的《输液性静脉炎诊断标准》。排除标准：①过敏性疾病、关节炎症、血管疾病、皮肤疾病患者;②精神障碍、心理障碍、表达障碍患者[2]。, http://www.100md.com(曾静文)
[关键词]四黄水蜜;输液性静脉炎;视觉模拟量表评分;应用效果;中药外敷
[Abstract] Objective To explore the application effect of Sihuang Shuimi in infusion phlebitis and its effect on pain. Methods Eighty patients with infusion phlebitis treated in our hospital from March 2017 to March 2019 were selected and divided into observation group and control group according to the sequence of the patients′ consultation， 40 cases in each group. In the control group， Magnesium Sulfate (50%) was applied externally， and in the observation group， Sihuang Shuimi was applied. The visual analog scale (VAS) was used to analyze the effect of the two methods. The total nursing effectiveness rate of the two groups was compared. Results The total effectiveness rate of the observation group was higher than that of the control group， and the difference was statistically significant (P<0.05). At the time points of 8， 24， 48， and 72 h， the VAS scores of the observation group were lower than those of the control group， with statistical differences (P<0.05). Conclusion The application of Sihuang Shuimi in infusion phlebitis is remarkable. It can effectively alleviate the local pain felt by patients with infusion phlebitis， and it is worthy of widespread popularization and application in clinic.
[Key words] Sihuang Shuimi; Infusion phlebitis; Visual analog scale score; Application effect; External application of Chinese herbal medicines
静脉炎的成因相对复杂，静脉壁肿胀、肢体组织损伤、肢体制动等因素，均有可能导致静脉炎。在临床上，静脉炎常见于静脉穿刺输液部位，将此类情况称为输液性静脉炎。输液性静脉炎为输注药物有刺激性或导管损伤静脉所致，且输液性静脉炎多见患有下肢静脉曲张患者，因其本身的静脉迂曲，瓣膜功能不完善，在输液时，静脉压力升高，引发炎症。输液性静脉炎多见于患者四肢，少数为胸腹处，极少数为游走性发作。输液性静脉炎主要表现为红肿、灼热、压痛、疼痛等，肢体或胸腹表面有硬结表现，若急性发作，那局部会出现变硬等问题，且肤色素在局部沉着，时常伴随瘙痒等情况。输液性静脉炎若得不到有效控制，对患者的生命健康造成严重影响。输液性静脉炎治疗方法较多，如硫酸镁(50%)外敷、激光治疗、消炎药口服等[1]。四黄水蜜有消炎镇痛、活血化瘀之功效，可有效开结行滞，深入人体皮肤，对输液性静脉炎治疗在医疗界初步得到认可。本研究分析四黄水蜜治疗输液性静脉炎的效果，现报道如下。
1资料与方法
1.1一般资料
选取2017年3月～2019年3月我院收治的80例输液性静脉炎患者，根据问诊时间顺序分为观察组和對照组，每组各40例。观察组中，男27例，女13例;年龄22～59岁，平均(37±11)岁。对照组中，男17例，女23例;年龄24～65岁，平均(42±13)岁。两组的性别、年龄等一般资料比较，差异无统计学意义(P>0.05)，具有可比性。患者及家属了解本研究内容，并签订知情同意书。本研究通过我院医学伦理委员会审核批准。
纳入标准：①患者有不同程度的发红、肿胀、静脉条索纹、硬结症状;②患者符合英国医学研究委员会制定的《输液性静脉炎诊断标准》。排除标准：①过敏性疾病、关节炎症、血管疾病、皮肤疾病患者;②精神障碍、心理障碍、表达障碍患者[2]。, http://www.100md.com(曾静文)
参见：首页 > 医疗版 > 症状 > T > 疼痛