不同穿刺方法在自发性蛛网膜下腔出血患者静脉注射尼莫地平中的应用

[摘要] Abstract：Objective To investigate the effect of different puncture methods in the intravenous injection of nimodipine for patients with spontaneous subarachnoid hemorrhage(SAH). Methods A total of 58 SAH patients were assigned to observation group (n=30) and control group (n=28), with intravenous injection of nimodipine for both groups. The superficial venous intubation was used in the control group and peripherally inserted central catheter (PICC) was applied in the observation group. The indwelling time of catheter, incidence of phlebitis and degree of pain were observed. Results The incidence of phlebitis was 3.33% in observation group and 42.86% in control group, and the difference was significant (P<0.01). The observation group had a longer indwelling time compared with the control group ［(13.13±4.58) d vs. (2.10±0.92) d, P<0.01］. There were 19 cases without pain, 9 cases with mild pain and 2 cases with moderate pain in observation group, and 5 cases with mild pain, 15 cases with moderate pain and 8 cases with severe pain in the control group, there was significant difference in two groups(P<0.01). Conclusion Injection of nimodipine and PICC for SAH patients can extend the indwelling time, reduce the incidence of phlebitis and relieve pain of patients.

[学科分类] 护理学

[关键词] 自发性蛛网膜下腔出血;外周穿刺中心静脉置管;尼莫地平;静脉炎