Ayat-Isfahani Farah, Pashang Mina, Davoudi Bita, Sadeghian Saeed, Jalali Arash
Tehran Heart Center, Tehran University of Medical Sciences, North Kargar St, Tehran.
Tehran Heart Center, Tehran University of Medical Sciences, North Kargar St, Tehran.
J Vasc Nurs. 2017 Mar;35(1):31-35. doi: 10.1016/j.jvn.2016.11.001.
Intravenous amiodarone is considered an effective treatment option for cardiac ventricular and atrial arrhythmias. Peripheral infusion of amiodarone may cause blood vessels irritation and phlebitis that is the most common complication of this drug by this route even when it is administered within recommended dosing limits. The effect of injection-site splinting on the occurrence of phlebitis among a group of cardiac arrhythmia patients receiving peripherally infused amiodarone. This research is a clinical trial on patients of Tehran Heart Center who were hospitalized due to cardiac arrhythmias. A sample of 60 patients with mean age 65 ± 14 years were randomly divided into control and test groups. In the experimental group with close splint and restrict the movement of the injection site until the end of the infusion and control groups without closing brace, at the same time received amiodarone. Injection protocol was similar for both groups. The results were analyzed with Spss18. The results of this research still significantly reduced the incidence of amiodarone injection-site phlebitis in the injection time (P = .005).
静脉注射胺碘酮被认为是治疗心室和心房心律失常的有效选择。外周输注胺碘酮可能会引起血管刺激和静脉炎，即使在推荐剂量范围内给药，这也是该药物通过这种途径最常见的并发症。注射部位夹板固定对一组接受外周输注胺碘酮的心律失常患者静脉炎发生情况的影响。本研究是一项针对德黑兰心脏中心因心律失常住院患者的临床试验。选取60例平均年龄65±14岁的患者，随机分为对照组和试验组。试验组采用紧密夹板固定并限制注射部位活动直至输注结束，对照组不进行夹板固定，两组同时接受胺碘酮治疗。两组的注射方案相似。结果用Spss18进行分析。本研究结果仍显著降低了胺碘酮注射期间注射部位静脉炎的发生率（P = 0.005）。
