Danchaivijitr S, Srihapol N, Pakaworawuth S, Vaithayapiches S, Judang T, Pumsuwan V, Kachintorn K
Department of Medicine, Faculty of Medicine, Siriraj Hospital, Mahidol University, Bangkok, Thailand.
J Med Assoc Thai. 1995 Jul;78 Suppl 2:S85-90.
The incidence rate and risk factors of infusion-related phlebitis was studied in 1993. Thirty-five hospitals were enrolled. Data were collected from 6,256 infusion sites. Male and female patients were almost equal. Forearms were the commonest site of infusion, followed by hand and arm respectively. In 34.1 per cent the infusion was interrupted by complications of which 6.2 per cent was phlebitis. It was mild in most cases. Increased incidence rates of infusion related phlebitis were associated with: the use of plastic cannulas, dextrose containing solutions, administration at the sites other than hand and concomitant administration of antimicrobials. The incidence rate of phlebitis rose sharply after 24 hours of infusion. It is concluded that in addition to proper insertion and good nursing care, the avoidance of the above risk factors will lead to a lower incidence of infusion-associated phlebitis.
1993年对输液相关静脉炎的发病率及危险因素进行了研究。共有35家医院参与。从6256个输液部位收集了数据。男性和女性患者数量几乎相等。前臂是最常见的输液部位，其次分别是手部和上臂。34.1%的输液因并发症而中断，其中6.2%是静脉炎。大多数情况下症状较轻。输液相关静脉炎发病率的增加与以下因素有关：使用塑料套管、含葡萄糖溶液、在手以外的部位给药以及同时使用抗菌药物。输液24小时后静脉炎发病率急剧上升。得出的结论是，除了正确穿刺和良好的护理外，避免上述危险因素将降低输液相关静脉炎的发病率。
