基层医学论坛
基層醫學論罈
기층의학론단
PUBLIC MEDICAL FORUM MAGAZINE
2013年
31期
4094-4095
,共2页
内瘘%穿刺失败%血管周围皮肤肿胀%止痛消炎膏%疗效观察
內瘺%穿刺失敗%血管週圍皮膚腫脹%止痛消炎膏%療效觀察
내루%천자실패%혈관주위피부종창%지통소염고%료효관찰
Analgesic antiphlogistic cream%Puncture failure%Blood vessels around the swelling of the skin%The fistula analgesic antiphlogistic%Observation of curative effect
目的：观察联合使用消炎止痛膏外敷治疗内瘘穿刺失败血液外渗致血管周围皮肤肿胀的临床效果。方法将34例血液外渗致血管周围皮肤肿胀的患者随机分为观察组和对照组，每组17例，观察组用土豆片+喜辽妥+止痛消炎膏外敷损伤内瘘侧肢体；对照组用冷敷+50%硫酸镁湿敷内瘘侧肢体。观察2组疗效及患者满意度情况。结果观察组痊愈8例，占47%，显效6例，占35%，有效3例，占18%；对照组痊愈3例，占18%，显效5例，占29%，有效7例，占41%，无效2例，占12%。观察组患者满意度为95%，对照组患者满意度为80%。观察组疼痛明显减轻，肿胀消除时间明显缩短，皮下瘀斑消散快，无1例内瘘栓塞。结论联合止痛消炎膏外敷治疗内瘘穿刺失败血液外渗致血管周围皮肤肿胀取材方便，疗效可靠，患者依从性高，值得推广。
目的：觀察聯閤使用消炎止痛膏外敷治療內瘺穿刺失敗血液外滲緻血管週圍皮膚腫脹的臨床效果。方法將34例血液外滲緻血管週圍皮膚腫脹的患者隨機分為觀察組和對照組，每組17例，觀察組用土豆片+喜遼妥+止痛消炎膏外敷損傷內瘺側肢體；對照組用冷敷+50%硫痠鎂濕敷內瘺側肢體。觀察2組療效及患者滿意度情況。結果觀察組痊愈8例，佔47%，顯效6例，佔35%，有效3例，佔18%；對照組痊愈3例，佔18%，顯效5例，佔29%，有效7例，佔41%，無效2例，佔12%。觀察組患者滿意度為95%，對照組患者滿意度為80%。觀察組疼痛明顯減輕，腫脹消除時間明顯縮短，皮下瘀斑消散快，無1例內瘺栓塞。結論聯閤止痛消炎膏外敷治療內瘺穿刺失敗血液外滲緻血管週圍皮膚腫脹取材方便，療效可靠，患者依從性高，值得推廣。
목적：관찰연합사용소염지통고외부치료내루천자실패혈액외삼치혈관주위피부종창적림상효과。방법장34례혈액외삼치혈관주위피부종창적환자수궤분위관찰조화대조조，매조17례，관찰조용토두편+희료타+지통소염고외부손상내루측지체；대조조용랭부+50%류산미습부내루측지체。관찰2조료효급환자만의도정황。결과관찰조전유8례，점47%，현효6례，점35%，유효3례，점18%；대조조전유3례，점18%，현효5례，점29%，유효7례，점41%，무효2례，점12%。관찰조환자만의도위95%，대조조환자만의도위80%。관찰조동통명현감경，종창소제시간명현축단，피하어반소산쾌，무1례내루전새。결론연합지통소염고외부치료내루천자실패혈액외삼치혈관주위피부종창취재방편，료효가고，환자의종성고，치득추엄。
Objective To observe the combination of anti-inflammatory plaster topical treatment of fistula puncture failure within blood extravasation around blood vessels caused by swelling the clinical effect of skin. Methods 34 patients blood extravasation of xylene-induced ear edema blood vessels surrounding skin of patients, randomly divided into observation group and control group, each group of 17 cases, observation group with potato chips+xi liao completed + analgesic antiphlogistic cream topical side limb injury in fistula. In the control group with cold + 50%magnesium sulfate wet-apply internal fistula side body. Results The observation group 8 cases cured, accounted for 47%, 6 cases had marked effect, 35%, 3 cases(18%). And Control group recovered in 3 cases, accounting for 18%, 5 cases had marked effect, 29%, 7 cases (41%), and ineffective in 2 cases, accounting for 12%. Observation group of patients satisfaction 95%, control group patients' satisfaction was 80%. Observation group significantly reduce pain, swelling, eliminate time significantly shortened, subcutaneous ecchymosis dissipate quickly, no internal fistula embolism. Conclusion The combined application of analgesic antiphlogistic cream, fistula puncture failure blood extravasation to surrounding skin swelling blood vessels more effective.
