Clinical research on the prevention of phlebitis caused by indwelling needle in patients with limb dysfunction due to ischemic stroke by external application of traditional Chinese medicine paste
Clinical research on the prevention of phlebitis caused by indwelling needle in patients with limb dysfunction due to ischemic stroke by external application of traditional Chinese medicine paste
Objective To screen the patients with high-risk ischemic stroke and physical disabilities using intravenous indwelling needles according to the tool of intravenous indwelling needle related phlebitis risk assessment(IINPR)scale,so as to carry out the control study of preventive intervention on phlebitis based on external Chinese materia medica therapy.Methods The research inclusion criteria was established.A total of 138 patients admitted to the People's Hospital of Gaomi City Affiliated to Weifang Medical University from March 2021 to June 2022 were selected and divided into the observation group(n=69)and the control group(n=69)according to the random number table method.All patients were scored by IINPR scale.Both groups of patients were treated with conventional maintenance scheme of indwelling needle,and patients with IINPR scale score≥4 points were coated with Chinese materia medica ointment to prevent peripheral intravenous catheter(PIVC)phlebitis.Results The IINPR score of the observation group was(3.13±1.01)points,which was lower than that of the control group(4.91±1.34)points,and the difference was statistically significant(P<0.05).The incidence of phlebitis in the observation group was 5.80%,which was lower than the 18.84%in the control group,and the difference was statistically significant(P<0.05).The retention time of the intravenous catheter in the observation group was(97.74±6.88)hours,which was longer than that in the control group(66.38±10.81)hours,and the difference was statistically significant(P<0.05).Conclusion The combination of traditional Chinese and western medicine,scoring with IINPR scale,and timely preventive intervention measures for patients with high risk of phlebitis by external application of Chinese materia medica can reduce the incidence of peripheral intravenous catheter phlebitis in patients with ischemic stroke and prolong the retention time of intravenous indwelling needle.
维普
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