孙小兰

【摘  要】目的：研究盐酸胺碘酮注射液致静脉炎治疗及护理体会。方法：以我院2018年9月-2019年9月选取的50例应用盐酸胺碘酮注射液的患者，随机将其划分为观察组35列，对照组各15例，为两组患者均注射盐酸胺碘酮注射液，在注射的基础上对照组采取常规护理干预，观察组采取综合护理干预，观察两组患者静脉炎发生的情况。结果：观察组的护理满意度94.5%相较于对照组的78.2%明显更高，观察组的护理满意度明显高于对照组（P<0.05）;观察组治疗护理依从性87.3%明显比对照组的63.6%高（P<0.05）;经治疗与护理后，1h-4h期间观察组患者的血管炎症反应等级中度与重度较之对照组相比明显更少，发生比例更小;反之，观察组患者没有出现管炎症反应的人数和轻度炎性反应等级的人数与对照组比较明显更多，占比比例更高（P<0.05）。结论：为患者提供必要的护理干预，可以有效降低盐酸胺碘酮注射液所导致静脉炎的出现，提高患者护理满意度，还可以提高患者治疗与护理的依从性。

【关键词】盐酸胺碘酮注射液;静脉炎;护理干预

【中图分类号】R473      【文献标识码】A      【文章编号】1004-7484（2019）07-0071-02

【Abstract】Objective：To study the treatment and nursing experience of phlebitis caused by amiodarone Hydrochloride injection.Methods： 50 patients who were treated with amiodarone Hydrochloride injection from September 2018 to September 2019 were randomly divided into observation group （n = 35） and control group （n = 55）. The patients in both groups were injected with amiodarone Hydrochloride injection. On the basis of injection， the control group was treated with routine nursing intervention， and the observation group was treated with comprehensive nursing intervention to observe the occurrence of phlebitis in the two groups.Results： The nursing satisfaction of the observation group was significantly higher than that of the control group （P <0.05）， the nursing compliance of the observation group （87.3%） was significantly higher than that of the control group （P <0.05）.  P < 0.05）.Conclusion： To provide the necessary nursing intervention to the patients， the occurrence of phlebitis caused by amiodarone hydrochloride injection can be effectively reduced， the patient's nursing satisfaction can be improved， and the patient's treatment and nursing compliance can be improved.

【Key words】Amiodarone Hydrochloride injection; phlebitis; Nursing intervention

盐酸胺碘酮注射在临床治疗心律失常上是一种十分重要的药物，胺碘酮的PH值相对来说也较为偏酸，会对人体血管造成巨大的刺激，容易导致静脉炎的出现^[1]。为了降低注射盐酸胺碘酮注射液后引起静脉炎的发生率，我院对选取的行静脉注射盐酸胺碘酮的患者采取不同护理干预，获取效果良好，现报道如下：

1 资料与方法