山莨菪碱凝胶防治得力生所致静脉损伤的研究

目的 探讨山莨菪碱凝胶涂搽防治输注得力生所致静脉损伤的效果.方法 将100例静脉输注得力生的患者随机分为实验组和对照组各50例.实验组患者在静脉输注得力生前3～5 min将2%山莨菪碱凝胶沿静脉走向均匀地涂搽于输液穿刺点上方的皮肤,对照组不做任何处理,观察输注得力生后2组静脉损伤的情况.再对2组有静脉损伤的患者用2%山莨菪碱凝胶涂搽于输液穿刺点上方的皮肤,观察其对静脉损伤的治疗效果.结果 实验组静脉内疼痛的发生率为4%,无静脉输液不畅、输液部位红肿的发生;对照组静脉输液不畅的发生率为34%,局部红肿的发生率为42%,静脉内疼痛的发生率为68%.对照组39例及实验组2例发生静脉损伤患者经过治疗后静脉损伤症状全部消失.结论 2%山莨菪碱凝胶涂搽能有效防治输注得力生所致静脉损伤的发生.

Research in prevention and treatment of venous injury caused by intravenous infusion of Delisheng with anisodamine gel

Objective To investigate the effect of prevention and treatment of venous injury caused by intravenous infusion of Delisheng with anisodamine gel.Methods 100 patients with intravenous infusion of Delisheng were randomly divided into the experimental group and the control group,50 patients in each group,and the skin at the top of transfusion puncture points of the patients of the experimental group were evenly embrocated with 2% anisodamine gel along the vein before 3 to 5 minutes of intravenous infusion of Delisheng,while the control group received no treatment.After observing the situation of venous injury,the skin at the top of transfusion puncture points of the positive patients was embrocated with 2% anisodamine gel,and the effect on venous injury was observed.Results The incidence rate of intravenous pain of the experimental group was 4%,there wasn't any occurrence of poor intravenous infusion or swelling of the infusion position.The incidence rate of poor intravenous infusion of the control group was 34% and phlebitis incidence rate was 42%,and intravenous pain incidence rate was 68%.All the venous injury symptoms of 39 patients of the control group and 2 patients of the experimental group disappeared after treatment.Conclusions The embrocating of 2% anisodamine gel can effectively prevent and treat the venous injury caused by intravenous infusion of Delisheng.