两种封管方式对注射两性霉素B所致静脉炎和置管时长的效果观察

发布时间：2017-12-28 02:33

本文关键词：两种封管方式对注射两性霉素B所致静脉炎和置管时长的效果观察　出处：《实用临床护理学电子杂志》2016年09期 　论文类型：期刊论文

【摘要】：目的探讨两种封管方式对注射两性霉素B所致静脉炎和置管时长的影响。方法选取2013年3月~2014年9月我院收治的艾滋病合并真菌感染注射两性霉素B治疗的患者60例,随机分为对照组与观察组,各30例。对照组输液完毕用5 m L肝素盐水封管,观察组输液完毕用10 m L生理盐水冲管,再用5 m L肝素液封管。分别观察两组静脉炎发生率和留置针留置时长。结果观察组静脉炎发生的时间较对照组明显推迟,观察组的留置针使用时长高于对照组,堵管率也低于对照组。结论先采用足量生理盐水稀释冲洗单位面积血管内药液,再使用低分子肝素钠封管,能有效减缓静脉炎的发生时间和降低严重程度,延长留置针使用时间。
[Abstract]:Objective to investigate the effect of two types of tube sealing methods on phlebitis and length of intubation induced by amphotericin B injection. Methods a total of 60 patients who were treated with amphotericin B in our hospital during March 2013 ~2014 September were randomly divided into the control group and the observation group, 30 cases in each group. In the control group, 5 m L heparin saline was used to seal the tube, and the observation group was finished with 10 m L normal saline, and then 5 m L heparin liquid was used to seal the tube. The incidence of phlebitis and the length of indwelling needle were observed in two groups respectively. Results the time of phlebitis in the observation group was significantly delayed than that in the control group. The length of the indwelling needle in the observation group was higher than that of the control group, and the rate of pipe plugging was also lower than that of the control group. Conclusion the first step is to use adequate saline to dilute and rinse the area of intravascular fluid, and then use low molecular heparin sodium to seal the tube, which can effectively reduce the occurrence time and reduce the severity of phlebitis and prolong the use time of the indwelling needle.
【作者单位】：广西桂林市第三人民医院;
【分类号】：R472
【正文快照】： 我院感染科是桂北地区唯一收治艾滋病患者的科室,大多数AIDS患者合并有深部真菌感染。两性霉素B为多烯类抗真菌抗生素,通过影响细胞膜通透性发挥抑制真菌生长的作用,临床上用于治疗严重的深部真菌引起的内脏或全身感染,为艾滋病抗深部真菌首选药物,在我科是免费治疗药品,使用

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