现代临床护理
現代臨床護理
현대림상호리
MODERN CLINICAL NURSING
2015年
7期
33-35
,共3页
刘冬兰%古秋荣%曾日娣%许冬兰
劉鼕蘭%古鞦榮%曾日娣%許鼕蘭
류동란%고추영%증일제%허동란
中药膏贴%热敷%甘露醇%腰椎间盘突出%护理
中藥膏貼%熱敷%甘露醇%腰椎間盤突齣%護理
중약고첩%열부%감로순%요추간반돌출%호리
traditional Chinese medicine ointment ironing%hot compress%mannitol%lumbar disc%nursing
目的：探讨应用中药膏贴热敷缓解静脉输注20％甘露醇所致局部反应的效果及总结护理要点。方法选择需静脉输注20％甘露醇的急性腰椎间盘突出患者58例，按简单随机方法将患者随机分为观察组和对照组，每组各29例。在静脉输注20％甘露醇过程中，观察组患者采用中药膏贴沿血管走向距穿刺针眼2 cm处局部热敷，持续至甘露醇滴注结束后30 min；对照组患者采用浓度为330 g／L（即33％）硫酸镁局部湿热敷，持续至甘露醇滴注结束后30 min。比较两组患者静脉输注20％甘露醇过程发生局部肢体疼痛程度及静脉炎级别。结果两组患者疼痛程度及静脉炎级别情况比较，均P＜0．01，差异具有统计学意义，观察组患者疼痛程度及静脉炎级别明显轻于对照组。结论中药膏贴热敷法能有效缓解或减轻静脉输注20％甘露醇所致局部疼痛及静脉炎严重程度，效果优于采用硫酸镁局部湿热敷法。
目的：探討應用中藥膏貼熱敷緩解靜脈輸註20％甘露醇所緻跼部反應的效果及總結護理要點。方法選擇需靜脈輸註20％甘露醇的急性腰椎間盤突齣患者58例，按簡單隨機方法將患者隨機分為觀察組和對照組，每組各29例。在靜脈輸註20％甘露醇過程中，觀察組患者採用中藥膏貼沿血管走嚮距穿刺針眼2 cm處跼部熱敷，持續至甘露醇滴註結束後30 min；對照組患者採用濃度為330 g／L（即33％）硫痠鎂跼部濕熱敷，持續至甘露醇滴註結束後30 min。比較兩組患者靜脈輸註20％甘露醇過程髮生跼部肢體疼痛程度及靜脈炎級彆。結果兩組患者疼痛程度及靜脈炎級彆情況比較，均P＜0．01，差異具有統計學意義，觀察組患者疼痛程度及靜脈炎級彆明顯輕于對照組。結論中藥膏貼熱敷法能有效緩解或減輕靜脈輸註20％甘露醇所緻跼部疼痛及靜脈炎嚴重程度，效果優于採用硫痠鎂跼部濕熱敷法。
목적：탐토응용중약고첩열부완해정맥수주20％감로순소치국부반응적효과급총결호리요점。방법선택수정맥수주20％감로순적급성요추간반돌출환자58례，안간단수궤방법장환자수궤분위관찰조화대조조，매조각29례。재정맥수주20％감로순과정중，관찰조환자채용중약고첩연혈관주향거천자침안2 cm처국부열부，지속지감로순적주결속후30 min；대조조환자채용농도위330 g／L（즉33％）류산미국부습열부，지속지감로순적주결속후30 min。비교량조환자정맥수주20％감로순과정발생국부지체동통정도급정맥염급별。결과량조환자동통정도급정맥염급별정황비교，균P＜0．01，차이구유통계학의의，관찰조환자동통정도급정맥염급별명현경우대조조。결론중약고첩열부법능유효완해혹감경정맥수주20％감로순소치국부동통급정맥염엄중정도，효과우우채용류산미국부습열부법。
Objective To study the effect of traditional Chinese medicine ointment ironing in alleviating the local reaction caused by intravenous infusion of 20%and sum up nursing experience. Methods Fifty eight patients of acute lumbar disc patients with intravenous infusion of 20% mannitol were randomly divided into the observation group and the control group according to the simple random method with 29 cases in each group. In the course of intravenous infusion of 20%mannitol, local hot dressing was done in the observation group using traditional Chinese medicine ointment ironing properly along the direction of the blood vessel from the 2 cm puncture needle until 30 min after intravenous infusion of mannitol was finished. The control group use the concentration of 330 g/L (33%) magnesium for hot and wet dressing until 30 min after intravenous infusion of mannitol was finished. The two groups were compared in terms of pain degree and the level of phlebitis. Result The pain degree and phlebitis level in the observation group were significantly lower than those in the control group (all P<0.01). Conclusion The traditional Chinese medicine ointment ironing can effectively alleviate local pain and reduce the severity of phlebitis caused by intravenous infusion of 20%mannitol , with curative effect better than that of magnesium sulfate.
