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牙科门诊患者静脉注射地西泮后静脉并发症的前瞻性研究。

Prospective study of venous complications following intravenous diazepam in dental outpatients.

作者信息

Gelfman S S, Dionne R A, Driscoll E J

出版信息

Anesth Prog. 1981 Sep-Oct;28(5):126-8.

PMID:6950674
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC2516458/
Abstract

The incidence of venous complications following intravenous diazepam administered to 190 dental out-patients was investigated in a prospective, randomized study. The administration into the smaller veins of the hand and forearm resulted in a significant increase in the incidence of thrombophlebitis. Use of a plastic catheter in place of an infusion needle or flushing with 150 ml of saline did not alter the incidence of venous complications. These results suggest that use of the larger veins of the antecubital fossa can lower the incidence of venous complications encountered in clinical practice following the intravenous administration of diazepam. These findings also suggest that use of a plastic catheter or post-drug administration flushing with saline does not affect the incidence of venous complications.

摘要

在一项前瞻性随机研究中,对190名牙科门诊患者静脉注射地西泮后的静脉并发症发生率进行了调查。在手和前臂的较小静脉中给药导致血栓性静脉炎的发生率显著增加。使用塑料导管代替输液针或用150毫升生理盐水冲洗并没有改变静脉并发症的发生率。这些结果表明,使用肘前窝的较大静脉可以降低临床实践中静脉注射地西泮后遇到的静脉并发症的发生率。这些发现还表明,使用塑料导管或给药后用生理盐水冲洗不会影响静脉并发症的发生率。

相似文献

1
Prospective study of venous complications following intravenous diazepam in dental outpatients.牙科门诊患者静脉注射地西泮后静脉并发症的前瞻性研究。
Anesth Prog. 1981 Sep-Oct;28(5):126-8.
2
Incidence and extent of venous sequelae with intravenous diazepam utilizing a standardized conscious sedation technique. Part II: Effects of injection site.采用标准化清醒镇静技术静脉注射地西泮后静脉后遗症的发生率及程度。第二部分:注射部位的影响。
J Periodontol. 1983 Nov;54(11):680-4. doi: 10.1902/jop.1983.54.11.680.
3
Thrombophlebitis after intravenous use of anesthesia and sedation: its incidence and natural history.静脉使用麻醉和镇静药物后的血栓性静脉炎:其发病率及自然病程。
J Oral Surg. 1979 Nov;37(11):809-15.
4
Thrombophlebitis following intravenous diazepam.静脉注射地西泮后发生的血栓性静脉炎。
Br Dent J. 1981 Jul 21;151(2):42. doi: 10.1038/sj.bdj.4804631.
5
Incidence and extent of venous sequelae with intravenous diazepam utilizing a standardized conscious sedation technique.采用标准化清醒镇静技术静脉注射地西泮后静脉后遗症的发生率及严重程度。
J Periodontol. 1982 Nov;53(11):700-3. doi: 10.1902/jop.1982.53.11.700.
6
Venous sequelae following venipuncture and intravenous diazepam administration. Part One: Etiological factors.静脉穿刺和静脉注射地西泮后的静脉后遗症。第一部分:病因学因素。
Oral Health. 1996 May;86(5):9-13, 15, 17.
7
Venous complications of intravenous diazepam.静脉注射地西泮的静脉并发症。
J Oral Maxillofac Surg. 1983 Nov;41(11):701-5. doi: 10.1016/0278-2391(83)90184-2.
8
Incidence of thrombophlebitis in humans with the diazepam vehicle.使用地西泮溶媒的人群中血栓性静脉炎的发生率。
Anesth Prog. 1982 Nov-Dec;29(6):168-9.
9
Reduction of venous complications of intravenous diazepam.减少静脉注射地西泮的静脉并发症。
Anesth Prog. 1985 Nov-Dec;32(6):241-3.
10
Complications of intravenous diazepam. An overall assessment of 16,000 cases and detailed studies of 6,000 cases.静脉注射地西泮的并发症。对16000例病例的总体评估及对6000例病例的详细研究。
Dent Anaesth Sedat. 1981 Mar;10(1):7-24.

引用本文的文献

1
Bibliography for the control of anxiety, fear and pain in dentistry.牙科焦虑、恐惧和疼痛控制的参考文献。
Anesth Prog. 1982 Nov-Dec;29(6):11pp.
2
Reduction of venous complications of intravenous diazepam.减少静脉注射地西泮的静脉并发症。
Anesth Prog. 1985 Nov-Dec;32(6):241-3.
3
Prevention of venous complications from intravenous anesthesia.预防静脉麻醉引起的静脉并发症。
Anesth Prog. 1987 Jan-Feb;34(1):3-5.

本文引用的文献

1
Precipitation of diazepam from intravenous preparations.地西泮从静脉制剂中的沉淀。
JAMA. 1973 Jul 9;225(2):176.
2
Thrombophlebitis with diazepam used intravenously.静脉使用地西泮导致的血栓性静脉炎。
JAMA. 1973 Jan 8;223(2):184-5.
3
Solubility of injectable Valium in plasma and saline.注射用安定在血浆和盐水中的溶解度。
Anesth Prog. 1976 Mar-Apr;23(2):45-7.
4
Thrombophlebitis after intravenous diazepam--can it be prevented?
Anesth Analg. 1977 May-Jun;56(3):409-13. doi: 10.1213/00000539-197705000-00020.
5
Thrombophlebitis after intravenous use of anesthesia and sedation: its incidence and natural history.静脉使用麻醉和镇静药物后的血栓性静脉炎:其发病率及自然病程。
J Oral Surg. 1979 Nov;37(11):809-15.
6
Sequelae after the intravenous injection of three benzodiazepines--diazepam, lorazepam, and flunitrazepam.静脉注射三种苯二氮䓬类药物(地西泮、劳拉西泮和氟硝西泮)后的后遗症。
Br Med J. 1977 Nov 26;2(6099):1384-5. doi: 10.1136/bmj.2.6099.1384.