綠茶水調(diào)金黃散外敷治療胺碘酮所致靜脈炎的效果

1、    綠茶水調(diào)金黃散外敷治療胺碘酮所致靜脈炎的效果    黃鳴 樓娟摘要目的 探討綠茶水調(diào)金黃散外敷治療胺碘酮所致靜脈炎的效果。方法 選取2016年12月2018年4月我科收治的60例因使用胺碘酮所致靜脈炎患者作為研究對象，按照隨機數(shù)字表法分為實驗組（30例）與對照組（30例）。實驗組患者予以綠茶水調(diào)制金黃散成藥膏狀敷于患處，對照組患者則給予以50%硫酸鎂濕敷于患處。觀察兩組靜脈炎患者用藥后患處紅、腫、脹、痛等癥狀的改善情況，比較兩組患者的局部疼痛緩解時間以及紅腫消退時間，并統(tǒng)計比較兩組患者的治療總有效率。結果 實驗組患者的總有效率為96.67%，高于

2、對照組的70.00%，差異有統(tǒng)計學意義（p<0.05）。實驗組患者的局部疼痛緩解時間以及紅腫消退時間均短于對照組，差異有統(tǒng)計學意義（p關鍵詞靜脈炎；胺碘酮；金黃散；治療效果 r543.6 a 1674-4721（2019）5（b）-0200-03abstract objective to explore the effect of external application of jinhuang powder adjusted with green tea in the treatment of phlebitis induced by amiodarone. methods from

3、december 2016 to april 2018， 60 patients with phlebitis caused by amiodarone in our department were selected as the study subjects. the patients were divided into the experimental group （30 cases） and the control group （30 cases） by the random number table method. the patients in the experimental gr

4、oup were treated with green tea and jinhuang powder as ointment， and the patients in the control group were treated with 50% magnesium sulfate. the improvement of the symptoms of redness， swelling， distending， pain and so on in the patients with phlebitis after taking medicine in the two groups were

5、 observed， the time of local pain relief and redness and swelling regression between the two groups were compared， and the total effective rate was compared between the two groups. results the total effective rate of the experimental group was 96.67%， which was higher than 70.00% of the control grou

6、p， the difference was statistically significant （pkey words phlebitis； amiodarone； jinhuang powder； therapeutic effect胺碘酮屬于廣譜抗心律失常藥物，其臨床作用以類藥物作用為主，同時也兼具、類抗心律失常藥物的電生理作用。研究顯示，胺碘酮對各類室上性及室性快速性心動過速均有較好的治療效果，能有效預防心房顫動及心室顫動的發(fā)生，在臨床上使用廣泛1。胺碘酮的ph值為2.54.0，具有較高的滲透壓，容易損傷血管內(nèi)皮，造成靜脈炎2。據(jù)文獻報道3，經(jīng)外周靜脈持續(xù)泵入胺碘酮的靜脈炎發(fā)生率高達88.2%。臨床上泵注胺碘酮發(fā)生靜脈炎后，不僅增加患者痛苦，還延長了住院時間，加重了患者經(jīng)濟負擔，甚至部分進一步發(fā)展成深靜脈栓塞、敗血癥等嚴重并發(fā)癥4。目前，選用50%硫酸鎂濕敷外滲部位仍是比較公認的治療靜脈炎的方法5，但硫酸鎂濕敷易析出結晶而影響藥物吸收和治療效果，另外