新疆医科大学学报
新疆醫科大學學報
신강의과대학학보
JOURNAL OF XINJIANG MEDICAL UNIVERSITY
2015年
9期
1159-1161
,共3页
蒋琳%徐新新%杨宇莹%白双%曹静
蔣琳%徐新新%楊宇瑩%白雙%曹靜
장림%서신신%양우형%백쌍%조정
肠外营养%静脉炎%生理盐水%单静脉双通道%营养改善
腸外營養%靜脈炎%生理鹽水%單靜脈雙通道%營養改善
장외영양%정맥염%생리염수%단정맥쌍통도%영양개선
parenteral nutrition%phlebitis%normal saline%dual-channel single intravenous
目的：探讨外周静脉肠外营养液与生理盐水同时匀速输注预防静脉炎的效果。方法选择新疆医科大学第一附属医院急救中心重症监护室2014年1－12月行静脉滴注肠外营养液的患者45例，随机分为对照组和观察组，分别采用单独肠外营养及生理盐水与肠外营养同时匀速输注，观察两组患者静脉炎发生情况。结果观察组静脉炎发生率明显低于对照组，并且病变级别明显低于对照组（P ＜0．05）；观察组发生静脉炎的时间为（2．56±0．71）d，明显长于对照组的（1．96±0．65）d （t ＝2．899，P ＜0．05），差异有统计学意义。两组患者输注肠外营养液后血浆白蛋白和淋巴细胞总数变化无明显差异。结论单静脉双通道，生理盐水与肠外营养液同时匀速输注的方法简单、方便、有效，可显著降低静滴过程中可能出现的不良反应，减轻了患者的痛苦，给临床护理带来方便，提高了工作效率，具有现实指导意义。
目的：探討外週靜脈腸外營養液與生理鹽水同時勻速輸註預防靜脈炎的效果。方法選擇新疆醫科大學第一附屬醫院急救中心重癥鑑護室2014年1－12月行靜脈滴註腸外營養液的患者45例，隨機分為對照組和觀察組，分彆採用單獨腸外營養及生理鹽水與腸外營養同時勻速輸註，觀察兩組患者靜脈炎髮生情況。結果觀察組靜脈炎髮生率明顯低于對照組，併且病變級彆明顯低于對照組（P ＜0．05）；觀察組髮生靜脈炎的時間為（2．56±0．71）d，明顯長于對照組的（1．96±0．65）d （t ＝2．899，P ＜0．05），差異有統計學意義。兩組患者輸註腸外營養液後血漿白蛋白和淋巴細胞總數變化無明顯差異。結論單靜脈雙通道，生理鹽水與腸外營養液同時勻速輸註的方法簡單、方便、有效，可顯著降低靜滴過程中可能齣現的不良反應，減輕瞭患者的痛苦，給臨床護理帶來方便，提高瞭工作效率，具有現實指導意義。
목적：탐토외주정맥장외영양액여생리염수동시균속수주예방정맥염적효과。방법선택신강의과대학제일부속의원급구중심중증감호실2014년1－12월행정맥적주장외영양액적환자45례，수궤분위대조조화관찰조，분별채용단독장외영양급생리염수여장외영양동시균속수주，관찰량조환자정맥염발생정황。결과관찰조정맥염발생솔명현저우대조조，병차병변급별명현저우대조조（P ＜0．05）；관찰조발생정맥염적시간위（2．56±0．71）d，명현장우대조조적（1．96±0．65）d （t ＝2．899，P ＜0．05），차이유통계학의의。량조환자수주장외영양액후혈장백단백화림파세포총수변화무명현차이。결론단정맥쌍통도，생리염수여장외영양액동시균속수주적방법간단、방편、유효，가현저강저정적과정중가능출현적불량반응，감경료환자적통고，급림상호리대래방편，제고료공작효솔，구유현실지도의의。
Objective To explore the effects of prevention of phlebitis by suing uniformly intravenous drip-ping normal saline and parenteral nutrient solution with peripheral single intravenous route.Methods 58 cases of EICU patients were treated with Three liters bag (Parenteral nutrient solution)by using Peripher-al intravenous route from January to December 2014.The patients were randomly divided into control group and observer group.The control group were dripped three liters bag (parenteral nutrient solution) or normal saline by using Peripheral single intravenous route;The observer group were treated with three liters bag (parenteral nutrient solution)and normal saline with peripheral intravenous route by a uniform method of intravenous dripping at the same time,observing the complications of the phlebitis.Results Compared with control group.The observer group with the complications of the phlebitis were lower and phlebitis were delayed,and data analysis showed a significant difference between them (P <0.05),the re-sults also showed there was no significant difference between the changes of plasma albumin and total lym-phocyte count (TLC)levels in nutrition of the two methods.Conclusion The method with the dual-chan-nel single intravenous.Intravenous dripping saline infusion and parenteral nutrition on a uniform method at the same time is simple,convenient and effective to clinical care,It would significantly reduce the compli-cation of intravenous infusion,alleviate the suffering of patients.
