土豆片外敷治疗液体外渗

临床输液中由于患者躁动,血管通透性大,活动不当等原因常造成液体外渗致局部肿胀,影响了液体的正常输入。我们采用土豆片外敷肿胀处以治疗液体外渗5 0例,取得了良好的临床效果。方法　将新鲜土豆洗净,切成约2mm厚的薄片贴于肿胀处,以胶布固定,隔6h可见土豆片变色、干燥,予以更换。5 0例患者约6h后可见肿胀明显减退,于12～36h肿胀消除。讨论　土豆的主要成分为水、淀粉、糖,具有补气、健脾、消炎的作用。外用治疗烫伤、腮腺炎。优点　此法取材方便,价廉,患者无痛苦,操作简单,肿胀消除时间较传统方法缩短,值得临床推广。土豆片外敷治疗液体外…     

1例液体外渗致新生儿足背皮肤坏死

各种原因致使药液渗漏到血管外组织，引起的局部软组织及神经、肌腱、关节等损伤，称为渗漏性损伤。如果处理不及时，不妥当，可引起严重的、甚至不可逆的后果。儿童发生渗漏可占穿刺静脉的11％～58％，0．24％出现渗漏性皮肤坏死。我科发生1例因液体外渗致新生儿足背皮肤坏死，这是笔者从事临床护理工作20余年来第一次碰到，现报告如下。     

马铃薯外敷及其它方法治疗液体外渗的疗效比较

目的：比较新鲜马铃薯片外敷与50％硫酸镁湿敷及温水热敷对治疗静脉输液血管外渗漏所致局部组织损伤的疗效。方法：120例静脉输液血管外渗漏至皮下组织的病人被随机分为三组，分别采用新鲜马铃薯片外敷、50％硫酸镁湿敷及温水热敷治疗，观察局部组织肿胀消退时间。结果：马铃薯外敷组局部组织肿胀消退时间最短，温水热敷组时间最长，各组间比较均有极显著差异（P〈0．001）。结论：采用新鲜马铃薯片外敷治疗静脉输液外渗致局部组织肿痛、损伤具有独特疗效，且取材方便、简单实用。     

654-2加硫酸镁湿敷治疗新生儿强刺激性药物输液外渗的临床观察

目的:探讨新生儿静脉输液中强刺激性药物外渗的治疗效果.方法:将32例输液外渗的新生儿随机分为观察组和对照组各16例.观察组采用654-2加50%硫酸镁局部交替湿敷治疗,对照组单纯采用50%硫酸镁局部湿敷治疗.结果:治疗48 h观察组显效13例,有效2例,无效1例,总有效率93.75%;对照组显效6例,有效4例,无效6例,总有效率62.50%.观察组的总有效率明显高于对照组(P＜0.05).结论:654-2加硫酸镁局部湿敷治疗新生儿输液引起的强刺激性药物外渗效果显著.     

马铃薯外敷及其它方法治疗液体外渗的疗效比较

目的比较新鲜马铃薯片外敷与50%硫酸镁湿敷及温水热敷对治疗静脉输液血管外渗漏所致局部组织损伤的疗效.方法120例静脉输液血管外渗漏至皮下组织的病人被随机分为三组,分别采用新鲜马铃薯片外敷、50%硫酸镁湿敷及温水热敷治疗,观察局部组织肿胀消退时间.结果马铃薯外敷组局部组织肿胀消退时间最短,温水热敷组时间最长,各组间比较均有极显著差异(P＜0.001).结论采用新鲜马铃薯片外敷治疗静脉输液外渗致局部组织肿痛、损伤具有独特疗效,且取材方便、简单实用.     

应用皮下冲洗法成功处理1例新生儿液体外渗的护理

新生儿输液外渗是指在输液管理过程中,非故意地造成腐蚀性药物或溶液进入血管周围组织,而不是进入正常的血管通路。据Frank等[1]报道,新生儿液体外渗的发生率很高,可达23%～63%。而且由于新生儿生理发育、治疗需求、疾病状态、皮肤解剖结构如皮肤薄、嫩、脂肪少、血管细、脆弱、弹性差、角质层发育不成熟、易受损伤等原因,新生儿液体外渗甚至会导致皮     

马铃薯外敷治疗液体外渗30例临床观察

2006年1月～11月,我们对30例液本外渗患者采用马铃薯切片外敷进行消除水肿,效果满意。现将护理体会报告如下。     

复方三黄膏外敷治疗输液引起的液体外渗

静脉输液引起的液体外渗在临床上较为多见 ,常采用湿热敷 ,但操作繁琐 ,显效时间较慢 ,且易引起烫伤。 1999年10月～ 2 0 0 1年 10月 ,经过 40例液体外渗病人分别采用复方三黄膏外敷和湿热敷进行消肿止痛观察 ,结果如下。1　临床资料1.1　一般资料　选择神经内科输液引起液体外渗病人40例 ,年龄 36～ 88岁 ,外渗部位为手背、前臂和足背。随机分为两组 ,每组 2 0例。1.2　方法　观察组 :取黄柏 16 0 ｇ、黄芩 16 0 ｇ、大黄 16 0ｇ、玄明粉 2 0 ｇ、研粉过 70目筛。先将凡士林 2 5 0 0ｇ溶化沸腾后加入适量石蜡 ,液状石蜡调节软膏软硬度 ,然…     

应用皮下冲洗法成功处理1例新生儿液体外渗的护理

新生儿输液外渗是指在输液管理过程中,非故意地造成腐蚀性药物或溶液进入血管周围组织,而不是进入正常的血管通路.据Frank等[1]报道,新生儿液体外渗的发生率很高,可达23％～63％.而且由于新生儿生理发育、治疗需求、疾病状态、皮肤解剖结构如皮肤薄、嫩、脂肪少、血管细、脆弱、弹性差、角质层发育不成熟、易受损伤等原因,新生儿液体外渗甚至会导致皮肤水疱、溃疡、坏死以及对周围皮肤结构如肌腱、神经、肌肉的损伤,甚至造成瘢痕、挛缩、截肢等[2].英国的一项研究报道,在新生儿重症监护病房(NICU),1 000个静脉输液外渗中,有38个引起了皮肤坏死[3].易引起液体外渗的药物很多,如血管活性药物、高渗性溶液、完全胃肠外营养(TPN)、钙盐、钾盐、放射增强造影剂、化疗药物等.我院1例新生儿在动脉导管(PDA)结扎术后第6天,左手背发生高渗葡萄糖液体外渗,经紧急行皮下组织冲洗处理等措施,11h后患儿肿胀减退、皮肤颜色恢复正常、伤口痊愈,未发生坏死,效果良好.现将护理体会报告如下.     

穴位按压和喂养频率对早发型母乳性黄疸患儿干预治疗的临床研究

目的探讨穴位按压和喂养频率对早发型母乳性黄疸患儿实施干预治疗的效果。方法将142例早发型母乳性黄疸患儿随机分为2组,干预组72例,治疗组70例。2组均给予常规治疗和护理。干预组在按需喂养基础上适当增加喂养频率及泻黄汤穴位按压,对照组按需喂养。对2组的临床资料进行比较分析。结果干预组与对照组喂养次数分别为(9.0±1.7)次/d与(5.6±1.5)次/d;排便次数分别为(5.4±1.6)次/d与(3.0±1.4)次/d;黄疸消失所需光疗时间分别为(32±9)h与(41±8)h;胆红素每天下降值分别为(32.5±10.6)μmol/L与(24.1±8.6)μmol/L,以上结果比较2组差异均有统计学意义(P<0.01)。结论在按需喂养的基础上适当增加喂养频率及穴位按压,可促进早发型母乳性黄疸患儿胆红素的排泄,降低血清胆红素水平,可作为早发型母乳性黄疸患儿早期干预治疗的一种较好方法。     

Effect of acupressure on sleep quality of middle-aged and elderly patients with hypertension

PurposeTo evaluate the effect of acupressure on blood pressure and sleep quality in middle-aged and elderly patients with hypertension.MethodsA total of 75 elderly hypertensive patients with sleep disorders were randomly divided into either an experimental group (n = 38) or a control group (n = 37). All subjects received conventional treatment and health guidance. The experimental group also received acupressure treatment. The score of PSQI (Pittsburgh Sleep Quality Index) and blood pressure were measured and recorded before and after the treatment.ResultsAfter the intervention, the systolic (SBP) and diastolic blood pressure of the experimental group decreased significantly (p < 0.01). There was a significant difference in SBP between the groups (p < 0.01). After four weeks of intervention, the total PSQI score in the experimental group was significantly lower compared to the control group (p < 0.01).ConclusionAcupressure can lower SBP and effectively improve the sleep quality in middle-aged and elderly patients with hypertension.     

穴位按压缓解胃肠道肿瘤化疗患者恶心呕吐的效果观察

目的探讨穴位按压对缓解胃肠道肿瘤化疗患者恶心、呕吐的效果。方法对78例胃肠道恶性肿瘤患者化疗期间进行内关穴按压,用中文版恶心呕吐干呕症状评估量表评估患者化疗后出现的恶心、呕吐和干呕症状。结果统计分析显示,穴位按压对缓解化疗患者恶心、呕吐等不良反应有一定效果,且具有统计学意义(P0.01)。结论穴位按压能有效地降低患者恶心、呕吐的发生频率,缩短经历时间及减轻症状的严重程度,提高患者对化疗的耐受性,减轻痛苦。     

抚触及穴位按摩对脑卒中伴高血压患者血压的影响

目的探讨抚触及穴位按摩对脑卒中伴高血压患者血压的影响。方法选取入住神经内科需要进行降血压处理的脑卒中清醒患者167例,随机分成实验组和对照组,实验组在常规应用降压药的同时加用抚触及穴位按摩。对照组常规应用降压药治疗。比较两组治疗前后血压的变化情况。结果实验组的降压效果明显优于对照组(P<0.05),且患者依从性好。结论抚触及穴位按摩可作为脑卒中伴高血压患者的一种辅助降压手段。     

生葱热敷联合穴位按摩用于腹腔镜术后尿潴留患者的效果观察

目的 观察生葱热敷膀胱区联合穴位按摩对解除腹腔镜术后尿潴留患者的效果。 方法 将行腹腔镜手术后未留置尿管出现排尿困难、尿潴留的150例患者,随机分为对照组和观察组各75例。对照组采用常规的诱导排尿法,观察组采用生葱热敷膀胱区联合穴位按摩方法。比较2组患者排尿困难症状缓解情况和排尿情况。 结果 观察组排尿困难症状缓解情况明显好于对照组(χ²=12.354,P<0.001),排尿成功例数明显多于对照组(χ²=13.053,P<0.001)。 结论 生葱热敷膀胱区联合穴位按摩法用于腹腔镜术后排尿困难、尿潴留患者效果明显,可降低患者留置尿管的概率,减轻患者的痛苦。     

酚妥拉明联合垂体后叶素治疗老年支气管扩张伴大咯血的临床治疗效果

目的探讨酚妥拉明联合垂体后叶素治疗老年支气管扩张伴大咯血的临床治疗效果。方法选择卢氏县人民医院2010年6月至2013年6月收治的老年支气管扩张伴大咯血患者110例,随机分成观察组和对照组,每组55例。对照组应用垂体后叶素治疗,观察组应用酚妥拉明联合垂体后叶素,观察两组患者治疗后的疗效及其不良反应发生情况。结果观察组临床治疗总有效率显著高于对照组,且不良反应发生率显著低于对照组,差异均有统计学意义(P均0.05)。结论应用酚妥拉明联合垂体后叶素治疗老年支气管扩张伴大咯血可显著提高临床治疗效果,降低不良反应发生率,值得推荐。     

Effects of acupressure on chemotherapy-induced nausea and vomiting-a systematic review with meta-analyses and trial sequential analysis of randomized controlled trials

BackgroundAcupressure has been used as an effective way in treating with stomach upset. However the efficacy of acupressure in preventing chemotherapy-induced nausea and vomiting is uncertain.ObjectiveTo assess the effectiveness of acupressure on three categories of chemotherapy-induced nausea and vomiting.Data sourcesDatabases had been retrieved from inception through February 2016 for the randomized controlled trials in accordance with the inclusion criteria, including PubMed, Cochrane Central Register of Controlled Trials, Web of Science, EMBASE, Science Direct, CINAHL, China Biology Medicine, Chinese National Knowledge infrastructure, Wan Fang and Database for Chinese Technical Periodicals. Additional studies were identified through hand searches of bibliographies and Internet searches.DesignSystematic review with meta-analyses and trial sequential analysis of randomized controlled trials.Review methodsTwo reviewers selected relevant eligible articles, critical appraisal of the methodological quality was conducted on the basis of using Cochrane Handbook. A standardized Excel form was used to extract information. Meta-analysis and trial sequential analysis was performed using software RevMan 5.3 and TSA 0.9.ResultsTwelve studies with 1419 patients were included. Only three studies were assessed as high quality, one study was evaluated as moderate, and eight studies were evaluated as poor. The meta-analysis showed that acupressure reduced the severity of acute (SMD = −0.18, 95% CI −0.31 to −0.05, p < 0.01) and delayed (SMD = −0.33, 95% CI −0.64 to −0.01, p = 0.04) nausea. However, there was no benefit effect on the incidence or frequency of vomiting. No definitive conclusions were drawn from the trial sequential analysis.ConclusionThis systematic review suggested a protective effect of acupressure on chemotherapy-induced nausea and vomiting, while more well-designed clinical trials with larger sample size were needed to draw a definitive conclusion.     

高渗硫酸镁溶液治疗产后痔疮的临床研究

目的 探讨治疗产后痔疮的有效方法。方法 1999年1月－2000年12月对分娩后发病的痔疮110例,随机抽取55例采用50％的硫酸镁热湿敷治疗（实验组）,另55例常规用1：5000的高锰酸钾擦洗坐浴（对照组）。结果 实验组用药一天内止痛率为100％,5天内治愈率为70．91％,总有效率为98．18％;对照组5天内止痛率为70．91％,治愈率为7．27％,总有效率为34．55％。两组止痛效果差异有显著意义,（P＜0．001）,两组疗效比较差异有显著意义（P＜0．001）。结论 实验组止痛快,疗效好,明显优于对照组。     

炎琥宁联合酚妥拉明佐治婴幼儿毛细支气管炎的疗效分析

目的探讨炎琥宁联合酚妥拉明佐治婴幼儿毛细支气管炎的临床疗效。方法回顾性分析近年来收治的150例毛细支气管炎患儿的临床资料。将150例患儿随机分成治疗组75例,在常规治疗的基础上加用炎琥宁及酚妥拉明;对照组75例,仅给予常规治疗。结果治疗组治愈92例,好转5例,治愈率为92.00%;对照组治愈49例,好转25例,治愈率为65.33%;治疗组治愈率明显高于对照组(P<0.01);治疗组咳喘症状减轻、肺部啰音消失时间均早于对照组,住院天数少于对照组,组间比较有显著性差异(P<0.01)。结论炎琥宁治疗炎琥宁联合酚妥拉明佐治婴幼儿毛细支气管炎临床疗效确切,值得推广使用。     

The effects of acupressure on the symptoms severity and function status and electrodiagnostic findings in patients with carpal tunnel syndrome

ObjectiveThis study aimed to evaluate the effects of acupressure on the symptoms severity, function status and electrodiagnostic findings in patients with Carpal tunnel syndrome (CTS).DesignThis double blind, randomized, controlled clinical trial study was conducted on 57 patients with CTS that selected through convenience sampling. The patients were randomly assigned to three groups, including (1) acupressure; (2) placebo acupressure; and (3) control.SettingThe study was conducted in the medical centers affiliated to Semnan University of Medical Sciences, Iran.InterventionThe intervention groups received acupressure or placebo for one month. The control group received only routine cares (splints and analgesics) with no additional intervention.Primary outcomesThe severity of symptoms and hand function were evaluated by the Boston Carpal Tunnel Syndrome Questionnaire, and electrodiagnostic findings, including Nerve Conduction Velocity (NCV), Distal Sensory Latency (DSL), and Distal Motor Latency (DML) were measured by Electromyography device before and after the intervention.ResultsThe results showed significant differences in the mean severity of symptoms, hand function, NCV, DSL, and DML before and after the intervention in the acupressure group (P < 0.05). Significant differences were also observed between the means difference in severity of symptoms, hand function, and NCV, DSL, and DML before and after the intervention in the three groups (P < 0.05).ConclusionAccording to the results, acupressure was effective in reducing the severity of clinical symptoms, improving the hand function, and improving the electrodiagnostic findings. Therefore, the application of acupressure can be recommended for improving clinical symptoms of patients with CTS.