[1]罗春绸,蔡惠贞,姚秀娥,等.地塞米松溶液封管预防经外周静脉导管输注甘露醇所致静脉炎的应用研究[J].军事护理,2021,38(02):22-25.[doi:10.3969/j.issn.1008-9993.2021.02.006]
　LUO Chunchou,CAI Huizhen,YAO Xiu'e,et al.Application Research of Dexamethasone Solution Sealing in Preventing Phlebitis Caused by Mannitol Infusion through Peripheral Indwelling Needle[J].Nursing Journal Of Chinese People's Laberation Army,2021,38(02):22-25.[doi:10.3969/j.issn.1008-9993.2021.02.006]
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地塞米松溶液封管预防经外周静脉导管输注甘露醇所致静脉炎的应用研究
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《军事护理》[ISSN:2097-1826/CN:31-3186/R]

卷:
38
期数:
2021年02期
页码:
22-25
栏目:
论著
出版日期:
2021-02-15

文章信息/Info

Title:
Application Research of Dexamethasone Solution Sealing in Preventing Phlebitis Caused by Mannitol Infusion through Peripheral Indwelling Needle
文章编号:
1008-9993(2021)02-0022-04
作者:
罗春绸1; 蔡惠贞2; 姚秀娥3; 吴桑3; 黄志芬3
(1.福建医科大学附属漳州市医院 儿科,福建 漳州 363000; 2.福建医科大学附属漳州市医院 护理部; 3.福建医科大学附属漳州市医院 骨外科)
Author(s):
LUO Chunchou1; CAI Huizhen2; YAO Xiu'e3; WU Sang3; HUANG Zhifen3
(1.Department of Pediatrics,Zhangzhou Municipal Hospital Affiliated to Fujian Medical University,Zhangzhou 363000,Fujian Province,China; 2.Department of Nursing,Zhangzhou Municipal Hospital Affiliated to Fujian Medical University; 3.Department of Orthopedics,Zhangzhou Municipal Hospital Affiliated to Fujian Medical University)
关键词:
外周留置针;  封管溶液;  地塞米松;  静脉炎
Keywords:
peripheral indwelling needle;  tube sealing solution;  dexamethasone;  phlebitis
分类号:
R472.9
DOI:
10.3969/j.issn.1008-9993.2021.02.006
文献标志码:
A
摘要:
目的 探讨地塞米松溶液封管在预防经外周静脉导管(peripheral venous catheter,PVC)输注甘露醇所致静脉炎中的可行性及安全性。方法 2018年10月至 2019年4月,便利抽样法选择某院骨科需静脉输注甘露醇治疗的患者392例为研究对象。采用随机数字表法将其分为观察组和对照组,观察组194例,采用0.1 mg/ml地塞米松封管溶液5 ml进行脉冲封管; 对照组198例,采用生理盐水5 ml进行脉冲封管。比较两组患者静脉炎发生率及PVC留置天数以及其他PVC相关并发症的发生情况。结果 观察组患者甘露醇总使用血管数368条,发生静脉炎血管数为41条,发生率为11.14%。对照组甘露醇总使用血管数374条,发生静脉炎血管数为76条,发生率为20.32%,差异有统计学意义(P=0.003); 观察组及对照组患者PVC留置时间分别为(2.88±1.60)d及(2.62±1.56)d,差异有统计学意义(P=0.030); 两组患者在其他PVC相关并发症发生率上的差异无统计学意义(P>0.05)。结论 地塞米松封管溶液PVC输注甘露醇所致静脉炎有预防作用。
Abstract:
Objective To investigate the feasibility and safety of dexamethasone solution sealing in preventing phlebitis caused by mannitol infusion through peripheral indwelling needle(PVC).Methods From October 2018 to April 2019,a total of 392 patients who needed PVC infusion of mannitol treatment were randomly divided into two groups by random number table method.194 patients in the observation group were treated with 0.1 mg/ml dexamethasone sealing solution 5ml for pulse sealing,while 198 patients in the control group were treated with normal saline 5 ml for pulse sealing after infusion.The incidence of phlebitis,PVC indwelling days and other PVC related complications were compared between the two groups.Results The total number of blood vessels used by mannitol in the observation group was 368 with the incidence of phlebitis of 11.14%(n=41). In the control group,the total number of mannitol used vessels was 374,with the incidence of phlebitis 20.32%(n=76),the difference was statistically significant(P=0.003).The PVC indwelling time were 2.88±1.60 d and 2.62±1.56 d in the observation group and the control group,and the difference was statistically significant(P=0.030).And there was no significant difference in the incidence of other PVC related complications between the two groups(P>0.05).Conclusions Dexamethasone sealing solution can prevent phlebitis caused by mannitol infusion by PVC.

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(本文编辑:郁晓路)

备注/Memo

备注/Memo:
【 收稿日期 】 2020-10-25 【 修回日期 】 2021-01-08
【 作者简介 】 罗春绸,本科,副主任护师,从事儿童重症监护管理工作
【 通讯作者 】 蔡惠贞,电话:0596-2089622
更新日期/Last Update: 2021-02-15