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复方丹参注射液湿敷在新生儿输液外渗中的效果观察(1)
http://www.100md.com 2017年5月15日 《中国当代医药》2017年第14期
     [摘要]目的 探讨复方丹参注射液湿敷在新生儿输液外渗中的效果。方法 选取2015年3月~2016年3月于我院住院治疗且发生输液外渗的82例新生儿患者,随机分为观察组42例和对照组40例,对照组采用50%硫酸镁溶液湿敷治疗,观察组采用复方丹参注射液湿敷治疗。观察两组患儿消肿时间、治疗效果及不良反应情况。结果 观察组患儿开始消肿时间、显效时间和完全消肿时间均短于对照组,治疗总有效率(97.62%)高于对照组(75.00%),差异有统计学意义(P<0.01);观察组患儿治疗期间均未出现不良反应,对照组患儿不良反应发生率为10.0%,差异有统计学意义(P<0.05)。结论 复方丹参注射液湿敷治疗新生儿输液外渗较50%硫酸镁溶液湿敷治疗效果更显著,起效时间短,无明显不良反应,适合临床推广应用。

    [关键词]复方丹参注射液;50%硫酸镁溶液;新生儿;输液外渗

    [中图分类号] R473.72 [文献标识码] A [文章编号] 1674-4721(2017)05(b)-0158-03

    Efficacy observation of compound salvia injection wet dressing in newborns with infusion extravasation

    MAI Hui-qiong

    the People′s Hospital of Heping County in Guangdong Province,Heping 517200,China

    [Abstract]Objective To explore the efficacy observation of compound salvia injection wet dressing in newborns with infusion extravasation.Methods 82 cases of neonatal patients with infusion extravasation from March 2015 to March 2016 in our hospital were selected and randomly divided into the observation group (42 cases) and the control group (40 cases).Patients in the control group were given wet dressing with 50% magnesium sulfate solution;while the observation group were given wet dressing with compound salvia injection.The time of swelling disappear,treatment effect and the incidence of adverse reaction were compared between two groups.Results The beginning swelling disappear time,markedly effective time and totally swelling disappear time in the observation group were shorter than those in the contrl group;the total effective rate (97.62%) was higher than that in the control group (75.00%),the differences were statistically significant (P<0.01).During treatment,there was no adverse reaction in the observation group,while the incidence of adverse reaction in the control group was 10.0%,the difference was statistically significant (P<0.05).Conclusion The treatment effect of compound salvia injection wet dressing in treating newborn infusion extravasation is better than 50% magnesium sulfate solution wet dressing,which with short onset time,no obvious adverse reactions and suitable for clinical application.

    [Key words]Compound salvia injection;50% magnesium sulfate solution;Newborn;Infusion extravasation

    新生兒是住院患者人群中极为特殊的一类人群,由于患儿较小,缺乏自主能力,故口服药物治疗基本无法实现,大多数新生儿患者只能通过静脉给药方式达到药物治疗的目的[1]。但是由于新生儿患者血管纤细,易哭闹,不能按需要制动,因此在静脉给药时极易出现输液药物外渗情况[2]。以往临床针对输液药物外渗的新生儿患者采用50%硫酸镁溶液湿敷治疗[3]。随着临床诊疗的逐渐更新发展,部分护师发现使用复方丹参注射液湿敷治疗新生儿输液外渗的效果更好[4]。故此我院比较分析了使用复方丹参注射液和50%硫酸镁溶液湿敷在新生儿输液外渗中的疗效,具体报道如下。 (麦惠琼)
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