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目的探讨康惠尔水胶体敷料预防输注脂肪乳所致静脉炎的临床效果。方法将2016年5月-2017年4月在天津市人民医院消化科住院并接受脂肪乳输注的400例患者随机分为对照组(160例)和观察组(240例),行密闭式留置针穿刺后分别使用普通透明贴膜和康惠尔水胶体敷料,观察两组静脉炎发生率及发生程度。结果观察组静脉炎发生率为30%,明显低于对照组的60.0%;静脉炎的程度,观察组Ⅱ级为17.5%,明显低于对照组的37.5%,观察组Ⅲ级为5.0%,明显低于对照组的15.0%,差异均有统计学意义(P<0.01)。结论使用康惠尔水胶体敷料有预防输注脂肪乳所致静脉炎的发生并降低发生程度,值得临床推广应用。
Objective To investigate the clinical effect of Cornell hydrocolloid dressing on the prevention of phlebitis induced by lipid emulsion infusion. Methods 400 patients admitted to Department of Gastroenterology, Tianjin People’s Hospital from January 2016 to April 2017 were randomly divided into control group (160 cases) and observation group (240 cases) After the needle punctures were used ordinary transparent film and Kang Whirlpool hydrocolloid dressing, observe the incidence and incidence of phlebitis in both groups. Results The incidence of phlebitis in the observation group was 30%, which was significantly lower than that in the control group (60.0%). The degree of phlebitis was 17.5% in the observation group, 37.5% in the observation group and 5.0% in the observation group. Significantly lower than the control group 15.0%, the difference was statistically significant (P <0.01). Conclusions The use of Kangwure hydrocolloid dressing to prevent the incidence of phlebitis caused by lipid emulsion infusion and reduce the occurrence is worth to be popularized.