中华现代护理杂志
中華現代護理雜誌
중화현대호리잡지
CHINESE JOURNAL OF MODERN NURSING
2013年
30期
3802-3804
,共3页
硫酸镁%山莨菪碱%低温%疼痛%静脉炎%甘露醇%湿敷
硫痠鎂%山莨菪堿%低溫%疼痛%靜脈炎%甘露醇%濕敷
류산미%산랑탕감%저온%동통%정맥염%감로순%습부
Magnesium sulfate%Anisodamine%Hypothermia%Pain%Phlebitis%Mannitol%Wet compresses
目的 探讨预防小儿输注甘露醇时引起局部疼痛及静脉炎的有效方法.方法 选取120例输注甘露醇引起局部疼痛的住院患儿,将其按先后顺序随机分为冷湿敷组、常温山莨菪碱湿敷组、常温硫酸镁湿敷组、硫酸镁加山莨菪碱低温湿敷组各30例,观察4组疼痛治疗效果及静脉炎发生情况.结果 硫酸镁加山莨菪碱低温冷敷组止痛有效率达93.3％,冷敷组为33.3％,4组患儿止痛效果比较差异有统计学意义(x2 =24.70,P＜0.01)；硫酸镁加山莨菪碱低温冷敷组中有21例患儿血氧饱和度稳定,常温硫酸镁组为9例,4组患儿血氧饱和度稳定情况比较差异有统计学意义(x2 =24.88,P＜0.01)；硫酸镁加山莨菪碱低温冷敷组患儿5例发生静脉炎,但4组患儿静脉炎发生率比较差异无统计学意义(x2=4.36,P＞0.05).结论 小儿输注甘露醇引起局部静脉炎和疼痛者可以选用低温硫酸镁加山莨菪碱湿敷来预防,效果更佳.
目的 探討預防小兒輸註甘露醇時引起跼部疼痛及靜脈炎的有效方法.方法 選取120例輸註甘露醇引起跼部疼痛的住院患兒,將其按先後順序隨機分為冷濕敷組、常溫山莨菪堿濕敷組、常溫硫痠鎂濕敷組、硫痠鎂加山莨菪堿低溫濕敷組各30例,觀察4組疼痛治療效果及靜脈炎髮生情況.結果 硫痠鎂加山莨菪堿低溫冷敷組止痛有效率達93.3％,冷敷組為33.3％,4組患兒止痛效果比較差異有統計學意義(x2 =24.70,P＜0.01)；硫痠鎂加山莨菪堿低溫冷敷組中有21例患兒血氧飽和度穩定,常溫硫痠鎂組為9例,4組患兒血氧飽和度穩定情況比較差異有統計學意義(x2 =24.88,P＜0.01)；硫痠鎂加山莨菪堿低溫冷敷組患兒5例髮生靜脈炎,但4組患兒靜脈炎髮生率比較差異無統計學意義(x2=4.36,P＞0.05).結論 小兒輸註甘露醇引起跼部靜脈炎和疼痛者可以選用低溫硫痠鎂加山莨菪堿濕敷來預防,效果更佳.
목적 탐토예방소인수주감로순시인기국부동통급정맥염적유효방법.방법 선취120례수주감로순인기국부동통적주원환인,장기안선후순서수궤분위랭습부조、상온산랑탕감습부조、상온류산미습부조、류산미가산랑탕감저온습부조각30례,관찰4조동통치료효과급정맥염발생정황.결과 류산미가산랑탕감저온랭부조지통유효솔체93.3％,랭부조위33.3％,4조환인지통효과비교차이유통계학의의(x2 =24.70,P＜0.01)；류산미가산랑탕감저온랭부조중유21례환인혈양포화도은정,상온류산미조위9례,4조환인혈양포화도은정정황비교차이유통계학의의(x2 =24.88,P＜0.01)；류산미가산랑탕감저온랭부조환인5례발생정맥염,단4조환인정맥염발생솔비교차이무통계학의의(x2=4.36,P＞0.05).결론 소인수주감로순인기국부정맥염화동통자가이선용저온류산미가산랑탕감습부래예방,효과경가.
Objective To explore the effective prevention method of local pain and phlebitis induced by mannitol infusion in children.Methods One hundred and twenty patients with local pain induced by mannitol infusion were chosen and randomly divided into four groups including the cold wet compression group,the common temperature wet compression with anisodamine group,common temperature wet compression with magnesium sulfate group and cold wet compression with magnesium sulfate and anisodamine group,each with 30 cases.The local pain and phlebitis were observed in the four groups.Results The effective rate of reliving the pain was 93.3％ in the old wet compression with magnesium sulfate and anisodamine group,and 33.3％ in the cold wet compression group,and the differences were statistically significant in four groups (x2 =24.70,P ＜ 0.01).The scores of anxiety in four groups were (4.07 ± 0.83),(3.87 ± 1.07),(4.10 ± 0.76),(3.17 ± 0.79),and the differences were statistically significant (F =7.453,P ＜0.01).The cases of patients with the SaO2 stabihty were 21 cases in the old wet compression with magnesium sulfate and anisodamine group,and 9 cases in the common temperature wet compression with magnesium sulfate group,and the differences were statistically significant in four groups (x2 =24.88,P ＜ 0.01).The cases of patients with phlebitis were 5 cases in the old wet compression with magnesium sulfate and anisodamine group,and the difference was no statistically significant (x2 =4.36,P ＞ 0.05).Conclusions The wet compress of low temperature bitter salt and anisodamine can relieve the local pain in infusing fructose in children.
