摘要
目的探讨缓解静脉补钾所致疼痛的有效护理方法。方法135例静脉补钾致局部严重疼痛的患者,随机分为A、B、C 3组,每组45例,A组于疼痛发生后将一次性消痛敷料(术后宁)贴在穿刺部位上方;B组予654-2湿敷疼痛部位;C组将针柄逆时针翻转180°至对侧重新固定。结果3组间疼痛发生情况及疼痛缓解时间经统计学分析均有统计学差异(均P<0.01)。其中A组的总有效率最高,为97.8%,而C组最低,仅为51.1%;起效时间以A组最短,B组次之,C组最长。结论一次性消痛敷料(术后宁)及654-2湿敷均可用于缓解静脉补钾所致的局部疼痛,但由于前者使用方便,疗效更确切,值得在临床上推广。
Objective To explore effective odynolysis methods of local pain induced by transvenous infusion of potassium. Methods 135 patients with serious soreness evoked by transvenous administration of potassium were equally divided into group A, group B and group C by randomization. The disposable antiphlogistic dressing （ Shuhouning）, 5 centimetres in length and 4 centimetres in width, was administrated by sticking to injection site as soon as the patients felt pain in group A. Anisodamine （654-2） was applied on sore site by wet compress in group B. At injection, the needle handles were turned over 180° to the opposite side anticloekwlsely and fixed again in group C. Results The effective rate of relieving pain and the time of relieving pain were both different statistically among three groups （ all P 〈 0.01 ）. The total effective rate in group A was 97. 8% which was the highest in the three groups, while the rate in group C came out to be the lowest （ 51.1% ）. The time for gaining effect in group A was the shortest, that of group B the second, and that of group C the third among the three groups. Conclusion The disposable odynolysis dressing （Shuhouning） and 654-2 wet compress are both effective on soreness induced by transvenous infusion of potassium, and the therapeutic effect of ＇Shuhouning＇ is convenient in use and affirmatively effective, so it is worth popularizing clinically.
出处
《现代临床护理》
2007年第4期58-59,共2页
Modern Clinical Nursing
关键词
静脉输注
氯化钾
疼痛
外敷
transvenous infusion
potassium chloride
soreness
outer spreading
作者简介
赵兰芳（1968-），女，湖北人，主管护师，本科，主要从事外科护理工作。
