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三黄膏延长外周静脉留置针患者静脉输液留置时间及促进静脉损伤修复的效果观察

Sanhuang ointment prolongs indwelling time and promotes vein injury repair in patients receiving intravenous infusion via peripheral venous indwelling needles.

机构信息

Nursing Department, Hangzhou Hospital of Traditional Chinese Medicine Affiliated to Zhejiang University of Chinese Medicine, Hangzhou, China.

Department of Vascular Ultrasound, Hangzhou Hospital of Traditional Chinese Medicine Affiliated to Zhejiang University of Chinese Medicine, Hangzhou, China.

出版信息

Pak J Pharm Sci. 2024 Sep;37(5):917-926.

Abstract

We investigated the effect of Sanhuang ointment on the indwelling time and vein injury repair in patients receiving intravenous infusion via peripheral venous indwelling needles. Patients (n=120) who received infusion via peripheral venous indwelling needles were randomized into Sanhuang ointment, Hirudoid and blank control groups. The indwelling time, venous injury and repair rate, venous intimal roughness rate, vascular wall thickening rate, thrombosis rate and blood flow velocity were compared within 24h and on day 4 post-needle removal. The indwelling time in the Sanhuang ointment group was 7 (6,8) days, significantly longer than that in the Hirudoid (5(4,6) days) and blank control groups (4(3,5) days) (P<0.01). Within 24h of needle removal, differences in venous injury and repair grades, intimal roughness, wall thickening, thrombosis and blood flow were not significant (P>0.05). On day 4, the rates of venous intimal roughness, vascular wall thickening and thrombosis were significantly lower, while the blood flow velocity and venous repair rates were significantly higher in the Sanhuang ointment group than those in the Hirudoid and blank control groups (P<0.05). Sanhuang ointment application extends peripheral venous indwelling time and promotes vein repair without increased injury risk.

摘要

我们研究了三黄膏对接受外周静脉留置针静脉输液患者的留置时间和静脉损伤修复的影响。将 120 例接受外周静脉留置针输液的患者随机分为三黄膏组、喜疗妥组和空白对照组。比较三组患者在留置针拔出后 24h 内和第 4 天的留置时间、静脉损伤及修复率、静脉内膜粗糙度、血管壁增厚率、血栓形成率和血流速度。三黄膏组的留置时间为 7(6,8)天,明显长于喜疗妥组(5(4,6)天)和空白对照组(4(3,5)天)(P<0.01)。在留置针拔出后 24h 内,三组患者静脉损伤及修复分级、内膜粗糙度、血管壁增厚、血栓形成及血流差异均无统计学意义(P>0.05)。在第 4 天,三黄膏组的静脉内膜粗糙度、血管壁增厚和血栓形成率显著降低,而血流速度和静脉修复率显著高于喜疗妥组和空白对照组(P<0.05)。三黄膏的应用延长了外周静脉留置时间,促进了静脉修复,且未增加损伤风险。

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