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目的探讨心律失常患者静脉应用胺碘酮致静脉炎的原因及护理。方法选取2014年3月~2015年3月某院收治的476例静脉点滴胺碘酮的心律失常患者,其中100例发生静脉炎,对这些患者资料进行分析,采用随机对照方法将患者分为对照组和实验组,实验组50例,男30例,女20例,年龄38岁~83岁,平均52.3±2.6岁;对照组50例,男27例,女23例,年龄39岁~83岁,平均51.7±2.3岁。对照组实施常规护理,实验组实施护理干预,比较两组护理效果。结果静脉炎患者中药物对血管的损伤引起20例,占20%;血管选择不合适30例,占30%;不成熟的穿刺技术引起18例,占18%;不合适的针头固定位置22例,占22%;药液外渗10例,占10%。实验组护理总有效率为96%,显著高于对照组的88%(P<0.05);实验组护理满意率为96%,显著高于对照组的72%(P<0.05)。结论心律失常患者静脉应用胺碘酮导致静脉炎的原因是多方面的,不仅仅存在药物对血管损伤以及血管选择不当因素,同时也存在不熟练的穿刺技术和不恰当的针头位置固定,以及药液外渗。临床护理中既要加强患者的心理护理,也要选择合适的血管,提高穿刺成功率,做好血管的保护。
Objective To investigate the causes and nursing of intravenous amiodarone-induced phlebitis in patients with arrhythmia. Methods A total of 476 patients with intravenous amiodarone were included in our hospital from March 2014 to March 2015, of which 100 patients developed phlebitis. The data of these patients were analyzed. Patients were divided into control group Group and experimental group, the experimental group of 50 patients, 30 males and 20 females, aged 38 years old to 83 years old with an average of 52.3 ± 2.6 years; control group of 50 patients, 27 males and 23 females, aged 39 years to 83 years , With an average of 51.7 ± 2.3 years. The control group was given routine nursing, and the experimental group was given nursing intervention, and the nursing effect was compared between the two groups. Results In the patients with phlebitis, the damage to the blood vessels was caused by 20 cases, accounting for 20%. The inappropriate vascular selection was 30 cases, accounting for 30%. The immature puncture technique resulted in 18 cases (18%), and the inappropriate needle fixation position was 22 cases , Accounting for 22%; liquid extravasation in 10 cases, accounting for 10%. The total effective rate of nursing in experiment group was 96%, which was significantly higher than 88% in control group (P <0.05). The nursing satisfaction rate in experimental group was 96%, which was significantly higher than that in control group (72%, P <0.05). Conclusions The causes of intravenous amiodarone in patients with arrhythmia caused by intravenous injection of amiodarone are many. There are many reasons not only for drugs on vascular injury and improper selection of blood vessels, but also unskilled puncture technique and improper needle placement, as well as medicine Liquid extravasation. In clinical nursing, it is necessary to strengthen the patient’s psychological care, but also to select the appropriate blood vessels, improve the success rate of puncture, blood vessels do a good job.