护理学报
護理學報
호이학보
JOURNAL OF NURSING
2014年
4期
64-66
,共3页
动静脉穿刺%皮下血肿%冰敷%复方黄连液%50％硫酸镁%生马铃薯片
動靜脈穿刺%皮下血腫%冰敷%複方黃連液%50％硫痠鎂%生馬鈴藷片
동정맥천자%피하혈종%빙부%복방황련액%50％류산미%생마령서편
arteriovenous puncture%subcutaneous hematoma%icing treatment%Coptis liquid%50％magnesium sulfate%raw potato slice
目的：观察并探讨自制复方黄连液冰敷治疗动静脉穿刺处的皮下血肿的临床效果。方法入选2010年6月-2011年6月老年综合内科住院患者发生动、静脉穿刺处皮下血肿的90例患者为研究对象，随机分为观察组、对照1组、对照2组，每组各30例，3组患者血肿处分别应用自制复方黄连液持续冰敷、50%硫酸镁冷热湿敷、生马铃薯片冷敷，治疗24 h时观察3组患者血肿肿胀程度、疼痛指数与治疗效果。结果3组患者总体疗效比较差异有统计学意义（P＜0.05）；3组患者治疗后总体疼痛程度比较差异有统计学意义（P＜0.05）；观察组疼痛程度轻于对照1、2组（P＜0.05）；治疗后3组肿胀程度均较治疗前显著降低（P＜0.05），治疗后3组肿胀程度比较差异有统计学意义（P＜0.05），观察组与对照1组和对照2组比较差异均有统计学意义（P＜0.05），对照组1和对照组2比较差异无统计学差异（P＞0.05）。结论应用自制复方黄连液持续冰敷治疗动静脉穿刺部位的血肿，可显著缓解肿胀和疼痛。
目的：觀察併探討自製複方黃連液冰敷治療動靜脈穿刺處的皮下血腫的臨床效果。方法入選2010年6月-2011年6月老年綜閤內科住院患者髮生動、靜脈穿刺處皮下血腫的90例患者為研究對象，隨機分為觀察組、對照1組、對照2組，每組各30例，3組患者血腫處分彆應用自製複方黃連液持續冰敷、50%硫痠鎂冷熱濕敷、生馬鈴藷片冷敷，治療24 h時觀察3組患者血腫腫脹程度、疼痛指數與治療效果。結果3組患者總體療效比較差異有統計學意義（P＜0.05）；3組患者治療後總體疼痛程度比較差異有統計學意義（P＜0.05）；觀察組疼痛程度輕于對照1、2組（P＜0.05）；治療後3組腫脹程度均較治療前顯著降低（P＜0.05），治療後3組腫脹程度比較差異有統計學意義（P＜0.05），觀察組與對照1組和對照2組比較差異均有統計學意義（P＜0.05），對照組1和對照組2比較差異無統計學差異（P＞0.05）。結論應用自製複方黃連液持續冰敷治療動靜脈穿刺部位的血腫，可顯著緩解腫脹和疼痛。
목적：관찰병탐토자제복방황련액빙부치료동정맥천자처적피하혈종적림상효과。방법입선2010년6월-2011년6월노년종합내과주원환자발생동、정맥천자처피하혈종적90례환자위연구대상，수궤분위관찰조、대조1조、대조2조，매조각30례，3조환자혈종처분별응용자제복방황련액지속빙부、50%류산미랭열습부、생마령서편랭부，치료24 h시관찰3조환자혈종종창정도、동통지수여치료효과。결과3조환자총체료효비교차이유통계학의의（P＜0.05）；3조환자치료후총체동통정도비교차이유통계학의의（P＜0.05）；관찰조동통정도경우대조1、2조（P＜0.05）；치료후3조종창정도균교치료전현저강저（P＜0.05），치료후3조종창정도비교차이유통계학의의（P＜0.05），관찰조여대조1조화대조2조비교차이균유통계학의의（P＜0.05），대조조1화대조조2비교차이무통계학차이（P＞0.05）。결론응용자제복방황련액지속빙부치료동정맥천자부위적혈종，가현저완해종창화동통。
Objective To observe and discuss the clinical efficacy of self-made compound Coptis liquid in icing treatment of subcutaneous hematoma resulting from arteriovenous puncture. Methods Ninety admitted elder patients with subcutaneous hematoma due to arteriovenous puncture from June 2010 to June 2011 were randomized into observation group, control group 1 and control group 2, with 30 cases in each group. Patients in three groups received sustaining icing therapy with self-made compound Coptis liquid, cold and wet compressing therapy by 50% magnesium sulfate and cold compress by raw potato slices respectively. Hematoma swelling, pain index and clinical efficacy of three groups were recorded and compared after 24h treatment. Results Effective differences among observation group and control groups were statistically significant ( P<0.05); Treatment efficiency on pain alleviation in observation group was significantly higher than that in control groups ( P<0.05); Swelling decreased significantly after 24h treatment (P<0.05) and the effect was more obvious in observation group than that in control group1 and control group 2, and the differences among groups were statistically significant. Conclusion Self-made compound Coptis liquid can significantly relieve swelling and pain for arteriovenous hematoma due to puncture, which is worthy of promotion for its significant efficacy.
