金黄散外敷预防静脉炎的护理效果探讨.docVIP

金黄散外敷预防静脉炎的护理效果探讨 　　[摘要] 目的 客观评价金黄散外敷预防静脉炎的护理效果，重点总结提升预防静脉炎形成的护理方法。 方法 随机选择该院2012年11月―2014年10月接收的26例脑病患者（A组），予以静脉穿刺+金黄散外敷+综合护理；同期选择26例脑病患者（B组），仅予以静脉穿刺，深入观察所有入选患者的护理情况以及静脉炎发生情况，并且对各项数据进行客观比较。结果 上述入选患者中，A组入选患者中有1例出现静脉炎，总发生率3.85%；B组入选患者中有6例出现静脉炎，总发生率23.08%，两组比较差异有统计学意义（P0.05）。结论 对于静脉穿刺患者，采取金黄散外敷预防静脉炎不仅可以提升患者临床效果，而且还可以控制静脉炎出现，效果突出，可推广。 　　[关键词] 金黄散；外敷；静脉穿刺；静脉炎；护理 　　[中图分类号] R5 [文献标识码] A [文章编号] 1674-0742（2015）11（c）-0149-03 　　[Abstract] Objective To objectively evaluate the nursing effect of golden powder in preventing phlebitis and emphatically summarize nursing methods of improving and preventing the formation of phlebitis. Methods 52 cases of patients treated in our hospital from November 2012 to October 2014 were randomly selected and divided into group A and group B with 26 cases in each， group A were given venipuncture， external application of golden powder and comprehensive nursing； group B were given only venipuncture， the nursing situation and the occurrence of phlebitis of all the selected cases were deeply observed and all of the data was objectively compared. Results In group A， there was 1 case of phlebitis and the total incidence rate was 3.85%； in group B， there were 6 cases of phlebitis and the total incidence rate was 23.08%， the comparison between the two groups were different（P0.05）. Conclusion External application of golden powder to prevent phlebitis can not only improve the clinical effect of patients but control the appearance of phlebitis， whose effect is obvious and it is worth promoting. 　　[Key words] Golden powder； External application； Venipuncture； Phlebitis； Nursing 　　脑病即人体大脑的神经组织受损后形成的病症，其诱发因素包括药物中毒因素、遗传因素、感染因素、脑部发育不全、脑梗阻以及脑外伤等[1-2]。脑病患者的发病机理较为复杂，涉及到中毒性因素、传染性因素、营养性因素以及寄生虫性因素等，极易引起高血压、偏瘫、脑梗死以及脑出血等病症[3]。静脉穿刺为治疗脑病患者的常见方式，也是改善患者临床指征的首选方案，尽管静脉穿刺疗效显著，但是由于脑病患者所用的药品浓度较高，而且毒性偏大，所以会对机体血管产生刺激感，使血管内膜受损，以至于静脉炎症状出现，影响患者疗效，因此预防静脉炎成为临床研究重点[4]。近几年，金黄散外敷预防静脉炎已得到临床认可，为了评价金黄散外敷预防静脉炎的护理效果，该研究以26例脑病患者为观察对象，再选取26例脑病患者作对比，分别予以静脉穿刺+金黄散外敷+综合护理以及静脉穿刺，在深入观察所有入选