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目的探讨不同冲管方式对甘露醇输注导致静脉炎发生的影响。方法收集南华大学附属南华医院神经外科2014年1月-2015年12月经静脉留置针输注20%甘露醇的患者60例,所有患者随机分为试验组、对照1组及对照2组各20例。试验组在甘露醇输注完毕后用生理盐水10 ml脉冲式冲管,对照1组在甘露醇输注完毕后用生理盐水10 ml一次性冲管,对照2组在甘露醇输注完毕后不冲管,比较5 d后3组静脉炎发生率。结果试验组静脉炎发生1例(5%),对照1组6例(30%),对照2组13例(65%),3组静脉炎发生率比较差异均有统计学意义(P<0.05)。结论脉冲式冲管及一次性冲管均能降低甘露醇输注导致静脉炎的发生率,使用脉冲式冲管较一次性冲管效果更明显。
Objective To investigate the effects of different methods of red tube on the incidence of phlebitis caused by mannitol infusion. Methods Sixty patients with 20% mannitol infused via intravenous catheter in Department of Neurosurgery, Nanhua Hospital, Nanhua University from January 2014 to December 2015 were collected. All patients were randomly divided into experimental group, control group 1 and control group 2 . The experimental group after mannitol infusion with saline 10 ml pulse tube, control group 1 after mannitol infusion 10 ml of normal saline red tube, the control group 2 mannitol infusion is complete Reduce the incidence of phlebitis in 3 groups after 5 days. Results Phlebitis occurred in 1 case (5%), 6 cases (30%) in control group 1 and 13 cases (65%) in control group 2, and the incidence of phlebitis in 3 groups was statistically significant (P <0.05 ). Conclusion Pulsed and one-time red tube can reduce the incidence of phlebitis caused by mannitol infusion. The use of pulsed tube is more effective than one-time tube.