Observation on Effect of Wet Compress of Radix et Rhizoma Rhei and Mirabilite Combined with Cluster Nursing on Preventing Phlebitis in Fracture Patients During Mannitol Use
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摘要:
目的:观察生大黄、芒硝湿敷联合集束化护理对骨折患者甘露醇使用期间静脉炎的预防效果。方法:选取使用20%甘露醇静脉滴注治疗的300例骨折患者,按随机数字表法分为对照组和观察组各150例。2组均实施集束化护理,观察组在甘露醇静脉滴注后使用生大黄、芒硝湿敷。比较2组患者静脉炎发生率、留置针留置时间和针口处疼痛、红肿情况。结果:观察组静脉炎严重程度轻于对照组,差异有统计学意义(P<0.05)。观察组和对照组静脉炎发生率分别为12.67%、37.33%,2组比较,差异有统计学意义(P<0.05)。观察组留置针留置时间<2 d的比率为24.67%,低于对照组的39.33%(P<0.05);观察组留置针时间>5 d 的比率为30.00%,高于对照组的18.67% (P<0.05)。干预后,2 组针口处疼痛评分、红肿直径均较干预前改善(P<0.05);观察组针口处疼痛评分、红肿直径改善情况均优于对照组(P<0.05)。结论:生大黄、芒硝湿敷联合集束化护理能减少骨折患者甘露醇使用期间静脉炎发生,延长留置针留置时间,减轻针口处疼痛、肿胀。
Abstract:
Abstract: Objective: To observe the effect of the therapy of wet compress of Radix et Rhizoma Rhei and mirabilite combined with cluster nursing on preventing phlebitis in fracture patients during mannitol use. Methods: A total of 300 fracture patients treated with intravenous infusion of 20% mannitol were selected and divided into the control group and the observation group according to the random number table method,150 cases in each group. Both groups were treated with cluster nursing care, and the observation group was additionally treated with wet compress of Radix et Rhizoma Rhei and mirabilite. The incidence of phlebitis,the duration of needle retaining,and the pain,redness and swelling of needling orifice were compared between the two groups. Results:The severity of phlebitis in the observation group was lighter than that in the control group,the difference being significant(P<0.05). The incidence of phlebitis was respectively 12.67% and 37.33% in the observation group and the control group, the difference being significant(P<0.05). The proportion of the duration of needle retaining for less than two days in the observation group was 24.67%,lower than that of 39.33% in the control group (P<0.05). The proportion of the duration of needle retaining more than five days in the observation group was 30.00%,higher than that of 18.67% in the control group(P<0.05). After intervention,the pain score and the diameter of redness and swelling at the needling orifice in the two groups were improved;the above indexes in the observation group were improved better than those in the control group(P<0.05). Conclusion:The therapy of wet compress of Radix et Rhizoma Rhei and mirabilite combined with cluster nursing can reduce the incidence of phlebitis in fracture patients during mannitol use, prolong the duration of needle retaining,relieve the pain and swelling of needling orifice.